FRED S KANTOR MD
Allergy and Immunology
New Haven, Connecticut
Provider NPI: 1669455887
Provider Information:FRED S KANTOR MD
Practice Location:
789 HOWARD AVE DANA BUILING 3RD FLOOR NEW HAVEN, CT 06519 US
Tel: 203-785-4629 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | CT | 009615 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001096155 | CT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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