Individual
DR. AUSTIN CHINEDU TAGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2041
(860) 680-6119
Mailing address
17 PARKWOODS DR, NORWICH, CT 06360-7524
(860) 680-6119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040105
CT
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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