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Individual

TIMOTHY TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
365 MONTAUK AVENUE, FAIRE HARBOUR BUILDING, 2ND FL, SUITE 2.013, NEW LONDON, CT 06320
(844) 817-9171
(203) 737-8035
Mailing address
PO BOX 208058, NEW HAVEN, CT 06520-8058
(203) 737-7652
(203) 785-4043

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
62171
CT
208800000X
Urology Physician
MD15933
RI

Other

Enumeration date
05/23/2011
Last updated
12/19/2018
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