Individual
MR. TIO ONNEFFE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(770) 680-6786
Mailing address
254 DAVIS ST, HAMDEN, CT 06517-3603
(770) 680-6786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4349
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/25/2018
Last updated
06/06/2025
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