Individual
DR. KELLY EILEEN TEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21 ELM ST, NEW MILFORD, CT 06776-2915
(203) 739-7038
Mailing address
21 ELM ST, NEW MILFORD, CT 06776-2993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
278898
NY
207RG0100X
Gastroenterology Physician
Primary
70417
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2011
Last updated
06/06/2022
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