Individual
DR. JENNIFER PAPA KANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, THE PAT AND JIM CALHOUN CARDIOLOGY CENTER, FARMINGTON, CT 06030-1321
(860) 679-3343
(860) 679-4256
Mailing address
263 FARMINGTON AVE, DEPARTMENT OF PULMONARY MEDICINE, FARMINGTON, CT 06030-1321
(860) 679-3585
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
040794
CT
207RP1001X
Pulmonary Disease Physician
Primary
040794
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972522076
—
CT
Enumeration date
07/19/2006
Last updated
04/11/2024
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