Individual
KAREN MARIE TIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 LONG LOTS ROAD, WESTPORT, CT 06880-3800
(203) 221-8801
Mailing address
559 WOODIN ST, HAMDEN, CT 06514-4213
(203) 389-7201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
043578
CT
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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