Individual
GARY SCOTT TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
1 FOREST PKWY, SHELTON, CT 06484-6147
(203) 926-7143
Mailing address
4 NICKEL MINE DR, SEYMOUR, CT 06483-2472
(203) 953-1200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
040058
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME65534
FL
Other
Enumeration date
03/13/2007
Last updated
01/13/2009
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