Individual
MERYEM TUNCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, NEPHROLOGY, FARMINGTON, CT 06030-3835
(860) 679-2160
(860) 679-1042
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051509
CT
207RN0300X
Nephrology Physician
Primary
051509
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205982154
—
CT
Enumeration date
01/25/2007
Last updated
11/14/2018
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