Individual
MICHAEL TAMMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4646
CT
363AS0400X
Surgical Physician Assistant
Primary
4646
CT
Other
Enumeration date
10/08/2019
Last updated
09/15/2025
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