Individual
DARREN SCOTT TISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 WESTERN BLVD, GLASTONBURY, CT 06033-1236
(860) 246-2071
(860) 524-2650
Mailing address
85 SEYMOUR ST, STE 415, HARTFORD, CT 06106-5501
(860) 246-2071
(860) 524-2650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042514
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425140
—
CT
01
—
010042514CT01
ANTHEM BCBS
CT
01
—
042514
CONNECTICARE
CT
01
—
06-1406459
COLONIAL COOPERATIVE CARE
CT
01
—
061406459
TRICARE
CT
05
—
2084686
—
MA
01
—
2V3562
HEALTH NET
CT
01
—
34529
HEALTH NEW ENGLAND
CT
01
—
3621597
AETNA
CT
01
—
4048166
CIGNA
CT
01
—
P3301421
OXFORD
CT
Enumeration date
09/19/2005
Last updated
03/29/2011
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