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TAMMY ALEX ND

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1346204278

Individual Registrant:
 TAMMY  ALEX ND
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11 WOODLAND RD  MADISON, CT 06443-2342 US
Tel: 203-389-0900  Fax: --

Contact information for business:
11 WOODLAND RD  MADISON, CT 06443-2342 US
Tel: 203-389-0900  Fax: --

Registration Information:
NPI: 1346204278
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CT00164

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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