Individual
CHRISTOPHER TAGLIAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22 PINE ST, BRISTOL, CT 06010-6948
(860) 584-8291
(860) 584-8354
Mailing address
149 PROSPECT ST, SUFFIELD, CT 06078-3006
(860) 584-8291
(860) 584-8354
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3201
CT
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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