Individual
MR. JOSE ANTONIO TIRADO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 LINWOOD ST, NEW BRITAIN, CT 06052-1998
(860) 224-9113
Mailing address
61 DONALD ST APT 3A, HARTFORD, CT 06120-2741
(860) 794-8893
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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