Individual
ELIZABETH ANNA TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
90 S MAIN ST STE 201, MIDDLETOWN, CT 06457-3649
(860) 358-6300
Mailing address
90 S MAIN ST STE 201, MIDDLETOWN, CT 06457-3649
(860) 398-0738
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
11/01/2023
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