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Contact Information

KERTRISA R MCWHITE, MD
540 SAYBROOK RD STE 100
MIDDLETOWN, CT06457-4760
 Phone: 860-358-2850
 Fax: 860-358-8661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KERTRISA R MCWHITE · (Female)

NPI # 1023053485
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 05/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 67547
  • AL Medicaid 204295
  • CT Medicaid 008101457
  • AL Other 8708239 CIGNA
  • AL Other Z51050 VIVA HEALTH
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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