Individual
ALLEN DAVID KALLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 HART ST, NEW BRITAIN, CT 06052-1743
(860) 225-7895
(860) 826-1407
Mailing address
40 HART ST, NEW BRITAIN, CT 06052-1743
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20138
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012013883
—
CT
01
—
010020138CT01
ANTHEM BC/BS
CT
01
—
0468330
AETNA
CT
01
—
052550
CONNECTICARE
CT
01
—
0679777003
CIGNA
CT
01
—
0V0465
HEALTHNET
CT
01
—
CT020138
UNITED HEALTH
CT
01
—
P704158
OXFORD
CT
Enumeration date
09/17/2006
Last updated
07/08/2007
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