Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 050721 | CT |
Y | 2084N0402X | Child Neurologist | 050721 | CT |
NPI | 1154345825 |
---|---|
Provider Name | Dr. Louisa Rechama Kalsner |
First Address | Hartford, CT 06105-1007 |
Second Address | Hartford, CT 06106-3322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 30/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1009742 | (05) | VT |
H47398 | (02) | VT |