Individual
DR. PHYLLIS TAWIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-00383
NC
207R00000X
Internal Medicine Physician
249469
NY
207R00000X
Internal Medicine Physician
25960
NE
208M00000X
Hospitalist Physician
Primary
54878
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03023498
—
NY
Enumeration date
07/18/2008
Last updated
03/14/2016
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