Roy A Kellerman in Bloomfield - Internal Medicine
Roy A Kellerman - NPI 1083780605
Roy A Kellerman is a Internal Medicine in Bloomfield, Connecticut. Roy A Kellerman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Roy A Kellerman is 1083780605. The last update date is 2021-06-16.
Roy A Kellerman's current location address is 35 Jolley Dr Ste 201, Bloomfield, Connecticut. You can contact this provider via phone number 8602435569 and fax number 8602432622. The mailing address for Roy A Kellerman is 35 Jolley Dr Ste 201, Bloomfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roy A Kellerman |
|---|---|
| Address | 35 Jolley Dr Ste 201, Bloomfield, Connecticut |
| Phone Number | 8602435569 |
| Fax Number | 8602432622 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083780605 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2021-06-16 |
Provider Mailing Address Detail
| Address | 35 Jolley Dr Ste 201 |
|---|---|
| City | Bloomfield |
| State | Connecticut (CT) |
| Post Code | 60024228 |
| Phone Number | 8602435569 |
| Fax Number | 8602432622 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 23862 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73169936 | CT | CONNECTICARE | |
| 010023862CT05 | CT | BLUE CROSS | |
| 1238625 | CT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Roy A Kellerman by the Centers for Medicare & Medicaid Services?
The Roy A Kellerman has been issued the NPI (National Provider Identifier) 1083780605. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Roy A Kellerman?
The Roy A Kellerman is physically situated at 35 Jolley Dr Ste 201, in the city of Bloomfield, state of CT, with the postal code 60024228.
What is Roy A Kellerman's area of expertise and its corresponding taxonomy classification?
The Roy A Kellerman's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Roy A Kellerman receive its 1083780605 assignment from the Centers for Medicare & Medicaid Services?
The Roy A Kellerman was assigned its 1083780605 on 2006-11-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Roy A Kellerman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roy A Kellerman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-16.