Individual
MICHELLE LYN TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141A DANBURY RD, NEW MILFORD, CT 06776-3428
(860) 717-0392
Mailing address
505 LONG MOUNTAIN RD, NEW MILFORD, CT 06776-4803
(312) 890-9331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10872
CT
363LF0000X
Family Nurse Practitioner
Primary
10872
CT
Other
Enumeration date
08/22/2022
Last updated
09/27/2022
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