Individual
DR. MARY ROSE GOTARDO TANTOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
88 NORWICH NEW LONDON TPKE STE 2, UNCASVILLE, CT 06382-2518
(860) 367-0087
Mailing address
88 NORWICH NEW LONDON TPKE STE 2, UNCASVILLE, CT 06382-2518
(860) 367-0087
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
62257
CT
Other
Enumeration date
05/04/2008
Last updated
04/03/2019
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