Individual
TIFFANY FIELDINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1281
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1281
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
301105
NY
207P00000X
Emergency Medicine Physician
Primary
67599
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2016
Last updated
10/30/2021
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