Individual
TIM BOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
843 MAIN ST # 15, MANCHESTER, CT 06040-6020
(860) 648-3001
(860) 648-3003
Mailing address
694 PALISADO AVE, WINDSOR, CT 06095-2037
(860) 214-4513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002775
CT
Other
Enumeration date
07/11/2005
Last updated
10/18/2023
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