Individual
TAMAR CHERKEZISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK STREET, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68662
CT
208M00000X
Hospitalist Physician
Primary
68662
CT
Other
Enumeration date
04/20/2018
Last updated
07/13/2021
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