Dr. Mary Griffin Kellogg, MD, IBCLC
Family Medicine in Stratford, CT. Individual provider (NPI-1).
NPI number1073698528
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073698528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Griffin Kellogg
- Credential
- MD, IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 035447 | CT | Yes |
Practice location
2505 Main StSuite 223
Stratford, CT 06615-5839
Phone 203-375-5812
Mailing address
540 Barn Hill RdMonroe, CT 06468-1419
Phone 203-268-3856
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