Individual
WILLIAM V TAMBORLANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CHURCH ST S, SUITE 511, NEW HAVEN, CT 06519-1717
(203) 764-9199
(203) 764-9149
Mailing address
2 CHURCH ST S, SUITE 511, NEW HAVEN, CT 06519-1717
(203) 764-9199
(203) 764-9149
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
017434
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001174341
—
CT
Enumeration date
11/22/2005
Last updated
04/06/2011
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