Individual
DR. JENNIFER SUZANNE TIRNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3728
(860) 679-4815
Mailing address
37 LEXINGTON RD, WEST HARTFORD, CT 06119-1748
(860) 679-3728
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
041991
CT
207RH0003X
Hematology & Oncology Physician
73952
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063469799
—
CT
Enumeration date
05/28/2006
Last updated
02/19/2010
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