Individual
MR. MICHAEL TANSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22 PARTRIDGE RD, 22 PARTRIDGE RD, GROTON, CT 06340-4323
(401) 932-3505
Mailing address
22 PARTRIDGE RD, 22 PARTRIDGE RD, GROTON, CT 06340-4323
(401) 932-3505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00850
RI
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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