Individual
DR. TARIK KARDESTUNCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
(860) 885-7228
Mailing address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
(860) 885-7228
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
044116
CT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
044116
CT
2085R0202X
Diagnostic Radiology Physician
044116
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001441162
—
CT
01
—
044116
LICENSE
CT
Enumeration date
11/18/2005
Last updated
01/25/2011
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