Provider Information for 1972522076
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Dr. JENNIFER PAPA KANAAN M.D.
Sex: Female
NPI: 1972522076
Last Updated: 2024-04-11
Certification Date: 2024-04-11
Certification Date: 2024-04-11
Details
Name | Value | ||||||||||||||
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NPI | 1972522076 | ||||||||||||||
Enumeration Date | 2006-07-19 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 263 FARMINGTON AVE DEPARTMENT OF PULMONARY MEDICINE FARMINGTON, CT 06030-1321 United States Phone: 860-679-3585 | Fax: | ||||||||||||||
Primary Practice Address | 263 FARMINGTON AVE THE PAT AND JIM CALHOUN CARDIOLOGY CENTER FARMINGTON, CT 06030-1321 United States Phone: 860-679-3343 | Fax:860-679-4256 | ||||||||||||||
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