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Individual

DR. JOSEPH M TUGGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
117 CHARTER OAK RD, SOUTHBURY, CT 06488-1218
(203) 267-6644
(203) 267-6646
Mailing address
PO BOX 372, SOUTHBURY, CT 06488-0372
(203) 267-6644
(203) 267-6646

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
030037
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010030037CT03
ANTHEM BCBS
CT
05
01518363
NY
01
044016
HEALTH NET
01
0983953
AETNA HMO PVN
01
1886542
CIGNA
01
4275740
AETNA PIN
01
730037
CONNECTICARE
CT
01
A003
TRICARE
Enumeration date
07/04/2006
Last updated
07/08/2007
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