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Individual

DR. MATTHEW BRENT TICHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
054290
CT
207RP1001X
Pulmonary Disease Physician
54290
CT
2086S0102X
Surgical Critical Care Physician
054290
CT

Other

Enumeration date
08/16/2012
Last updated
10/13/2015
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