Individual
GARY F TANSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 LEWIS AVE, SUITE 102, MERIDEN, CT 06451-2121
(203) 238-7747
(203) 686-0282
Mailing address
19 LUNAR DR, WOODBRIDGE, CT 06525-2320
(203) 389-7504
(203) 389-1666
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
028168
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001281683
—
CT
Enumeration date
06/06/2006
Last updated
08/09/2010
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