Kallal, James Edward

Kallal, James Edward is an individual health care provider with primary practice located at 100 Retreat Ave , Hartford CT 06106-2528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kallal, James Edward can be contacted via phone (860) 522-5712.

Contact Information

Primary practice address
100 Retreat Ave Hartford CT 06106-2528
Phone: (860) 522-5712
Fax: (860) 520-4270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 019484 Connecticut

Profile Details

NPI number 1083614531
LBN Legal business name Kallal, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated May 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083614531 NPPES
Connecticut MEDICAID 001194844
Connecticut Other OS2283
Connecticut Other P1236548
Connecticut Other 010019484CT01
Connecticut Other 13459
Connecticut Other 2266768003
Connecticut Other 2043107
Connecticut Other 0521150446
Connecticut Other P12038342

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