Individual
NICHOLAS DEAN TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
21 PAPER CHASE DR, FARMINGTON, CT 06032-2151
(860) 817-0546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6660
CT
363AM0700X
Medical Physician Assistant
Primary
6660
CT
Other
Enumeration date
08/29/2024
Last updated
10/10/2024
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