Individual
DR. TAMIKA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1260 SILAS DEANE HWY STE 103, WETHERSFIELD, CT 06109-4363
(860) 563-9518
(860) 257-0088
Mailing address
1260 SILAS DEANE HWY STE 103, WETHERSFIELD, CT 06109-4363
(860) 563-9518
(860) 257-0088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247841
NY
207R00000X
Internal Medicine Physician
Primary
53376
CT
Other
Enumeration date
11/30/2007
Last updated
10/14/2019
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