# PRIYA TANDON M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881871770
- **Authorized official:** PRIYA TANDON M.D (INTERNIST)
- **Authorized official phone:** (860) 537-2309

## Contact information

- **Practice address:** 123 BROADWAY ST, COLCHESTER, CT 06415-1022
- **Practice address phone:** (860) 537-2309
- **Practice address fax:** (860) 537-1629
- **Mailing address:** 123 BROADWAY ST, COLCHESTER, CT 06415-1022
- **Mailing address phone:** (860) 537-2309
- **Mailing address fax:** (860) 537-1629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 035115 | CT | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 01/23/2008
