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Provider Information for 1093723561

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

EITAN KILCHEVSKY M.D.

Gender: MALE

Individual NPI: 1093723561

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1093723561
Enumeration Date 2006-08-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 24 HOSPITAL AVE
DANBURY, CT 06810-6099
United States

Phone: 203-797-7150 | Fax:
View Map External Link
Primary Practice Address 24 HOSPITAL AVE
DANBURY, CT 06810-6099
United States

Phone: 203-797-7150 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080N0001X - Pediatrics Neonatal-Perinatal Medicine CT 035864