Individual
DR. TANNAZ MOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
(203) 688-5599
Mailing address
20 YORK ST T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510
(203) 688-2259
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046073
CT
Other
Enumeration date
12/31/2007
Last updated
05/20/2008
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