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Individual

DR. DAVID TILLINGHAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 SAYBROOK RD, SUITE 206, MIDDLETOWN, CT 06457-4773
(860) 344-0333
(860) 344-9703
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033456
CT

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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