Active NPIIndividual provider

Dr. Mary G Kellogg, MD, IBCLC

Family Medicine in Stratford, Connecticut

NPI Number1073698528
Practice location
2505 Main St, Suite 223, Stratford, CT 06615-5839
Fax
—
Last updated
July 8, 2007

Mary Griffin Kellogg is a Family Medicine based in Stratford, CT. Mary Griffin Kellogg practices in Stratford, CT and has the professional credentials of MD, IBCLC. The NPI Number for Mary Griffin Kellogg is 1073698528 and holds a License No. 035447 (CT). The current practice location address for Mary Griffin Kellogg is 2505 Main St, Suite 223, Stratford, CT 06615-5839 and can be reached out via phone at 203-375-5812.

Provider Profile Details

NPI Number
1073698528
Provider Name
Mary Griffin Kellogg
Credential
MD, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
2505 Main St, Suite 223, Stratford, CT 06615-5839
Phone Number
203-375-5812
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2505 Main St
Suite 223
Stratford, CT 06615-5839
Zip
06615-5839
Phone Number
203-375-5812
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
540 Barn Hill RD
Monroe, CT 06468-1419
City
Monroe
State
CT
Zip
06468-1419
Phone Number
203-268-3856

License Information

License Number
035447
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mary G Kellogg, MD, IBCLC?

The NPI number of Dr. Mary G Kellogg, MD, IBCLC is 1073698528. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary G Kellogg, MD, IBCLC?

Dr. Mary G Kellogg, MD, IBCLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 035447.

Where does Dr. Mary G Kellogg, MD, IBCLC practice?

The practice location is 2505 Main St, Suite 223, Stratford, CT 06615-5839. The office can be reached at 203-375-5812 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073698528 directly on the NPPES registry website.

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