Individual
ASIA TABATADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
160 ROBBINS STREET, CHASE OUTPATIENT CENTER, WATERBURY, CT 06708
(203) 573-7284
Mailing address
64 ROBBINS STREET, WATERBURY HOSPITAL, WATERBURY, CT 06708
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
08/27/2025
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