Individual
MARY E TINETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING, 3RD FL, NEW HAVEN, CT 06519-1304
(203) 688-6361
(203) 688-4209
Mailing address
789 HOWARD AVE, DANA BUILDING, 3RD FL, NEW HAVEN, CT 06519-1304
(203) 688-6361
(203) 688-4209
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
025669
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001256692
—
CT
Enumeration date
12/07/2005
Last updated
04/06/2011
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