Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 7902 | CT |
NPI | 1043220916 |
---|---|
Provider Name | Dr. Karen Elinor Calef |
First Address | Mansfield Center, CT 06250-1638 |
Second Address | Mansfield Center, CT 06250-1638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/07/2007 |