Individual
DR. TAMARA HANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 PERRYRIDGE RD, DEPARTMENT OF PATHOLOGY, GREENWICH, CT 06830-4697
(203) 863-3927
Mailing address
14 RIVERBEND RD, OLD LYME, CT 06371
(860) 434-6698
(860) 434-6698
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
216104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006600
—
MA
Enumeration date
10/27/2005
Last updated
03/07/2012
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