Individual
MS. TARA LEE TALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-1000
Mailing address
73 GARDEN DR, FAIRFIELD, CT 06825-3329
(475) 422-2922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1221863
CT
363A00000X
Physician Assistant
1221863
—
Other
Enumeration date
07/16/2024
Last updated
07/15/2025
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