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1043402829
CHARLES JOHN KALLICK
WESTPORT, CT
NPI
1043402829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CT 011345)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
Mr. CHARLES JOHN KALLICK MD
12 CROOKED MILE RD
WESTPORT, CT 06880-1123
Phone number: 203-226-3685
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Mailing Address
Mr. CHARLES JOHN KALLICK MD
12 CROOKED MILE RD
WESTPORT, CT 06880-1123
Phone number: 203-226-3685
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