Individual provider · NPI-1
Stephen J Kaye, MD
Internal Medicine · Colchester, CT
NPI number1235124272
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1235124272
- Entity type
- Individual (NPI-1)
- Name
- Stephen J Kaye
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2005
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 017860 | CT | Yes |
| 207RH0003X | Internal Medicine, Hematology & Oncology | 017860 | CT |
Practice location
163 Broadway StColchester, CT 06415-1022
Phone 860-537-4601 · Fax 860-537-6935
Mailing address
112 Lafayette StNorwich, CT 06360-2737
Phone 860-537-4601 · Fax 860-537-6935
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