Individual
PATRICK A TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4920 MAIN ST, 200, BRIDGEPORT, CT 06606
(203) 374-1515
(203) 374-4702
Mailing address
PO BOX 26899, NEW YORK, NY 10087-6899
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
032148
CT
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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