Provider Demographics
NPI:1104870534
Name:KAML, GARY J (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:KAML
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:330 ORCHARD ST
Mailing Address - Street 2:SUITE #309
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4417
Mailing Address - Country:US
Mailing Address - Phone:203-776-4677
Mailing Address - Fax:203-867-5507
Practice Address - Street 1:330 ORCHARD ST
Practice Address - Street 2:SUITE #309
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4417
Practice Address - Country:US
Practice Address - Phone:203-776-4677
Practice Address - Fax:203-867-5507
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2013-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT039646208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT7177298OtherAETNA - PPO
TINOtherNATIONAL PROVIDER NETWORK
CT010039646CT05OtherANTHEM BC/BS
CT1142234OtherAETNA - HMO
TINOtherNEHCA HMC/ PPO
TINOtherNORTHEASTT HEALTH DIRECT
CT2V6969OtherHEALTH NET
CT39646OtherCONNECTICARE
CT8832980OtherCIGNA
TINOtherUNITED HEALTHCARE
TINOtherPOMCO
CT512H51OtherEMPIRE BC/BS
CTP2531809OtherOXFORD HEALTH PLAN
TINOtherBETTER HEALTH ADVANTAGE
TINOtherFOCUS- CONCENTRA
TINOtherPRIVATE HEALTHCARE SYSTEM
TINOtherFIRST HEALTH / CCN
TINOtherNEHCA HMC/ PPO
CT2V6969OtherHEALTH NET