Individual
DR. MICHAEL G TAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 IMPERIAL AVE, WESTPORT, CT 06880-5034
(203) 226-4548
Mailing address
104 IMPERIAL AVE, WESTPORT, CT 06880-5034
(203) 226-4548
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
012079
CT
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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