Individual
DR. TIPHANY ALEXANDREA JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 SHELBURNE ROAD, STAMFORD, CT 06902
(203) 276-7777
Mailing address
7125 ORCHARD LAKE RD STE 120, WEST BLOOMFIELD, MI 48322-3627
(248) 780-2259
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
78050
GA
207P00000X
Emergency Medicine Physician
Primary
051495
CT
207P00000X
Emergency Medicine Physician
Primary
78050
GA
Other
Enumeration date
02/16/2012
Last updated
04/24/2026
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