Individual
ANDREA CHARLENE TAVLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 WESTFIELD AVENUE, ANSONIA, CT 06401-1163
(203) 734-1644
(203) 734-9222
Mailing address
20 WESTFIELD AVENUE, ANSONIA, CT 06401-1163
(203) 734-1644
(203) 734-9222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
263861
NY
208000000X
Pediatrics Physician
Primary
53394
CT
Other
Enumeration date
04/02/2009
Last updated
11/05/2014
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