Individual
MR. VICTOR TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 SILAS DEANE HWY, 2ND FLOOR WEST, WETHERSFIELD, CT 06109-4220
(860) 372-4731
(860) 372-4730
Mailing address
929 SILAS DEANE HWY, 2ND FLOOR WEST, WETHERSFIELD, CT 06109-4220
(860) 372-4731
(860) 372-4730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042939
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236015
—
CT
01
—
042939
PHYSICIAN SURGEON
CT
01
—
24352
CONTROLLED SUBSTANCE
CT
Enumeration date
01/10/2006
Last updated
02/23/2015
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