| Charles J.kallick, M.d.,pc | |
|
12 Crooked Mile Rd Westport CT 06880-1123 | |
| (203) 226-3685 | |
| Not Available |
| Full Name | Charles J.kallick, M.d.,pc |
|---|---|
| Speciality | Psychoanalyst |
| Location | 12 Crooked Mile Rd, Westport, Connecticut |
| Authorized Official Name and Position | Charles John Kallick (PRESIDENT) |
| Authorized Official Contact | 2032263685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J.kallick, M.d.,pc 12 Crooked Mile Rd Westport CT 06880-1123 Ph: (203) 226-3685 | Charles J.kallick, M.d.,pc 12 Crooked Mile Rd Westport CT 06880-1123 Ph: (203) 226-3685 |
| NPI Number | 1902175391 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902175391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | 011345 (Connecticut) | Primary |
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