Individual
TIGIST DEREJE ASHAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 KANE ST, WEST HARTFORD, CT 06119-2110
(860) 523-6436
(860) 523-3775
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 523-6436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051789
CT
Other
Enumeration date
12/20/2011
Last updated
09/22/2023
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