Individual
DR. TYSON HERZOG COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 OSBORNE ST FL 2, DANBURY, CT 06810
(203) 739-7038
Mailing address
111 OSBORNE ST FL 2, DANBURY, CT 06810-6000
(203) 739-7038
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
269178
NY
207RG0100X
Gastroenterology Physician
Primary
76586
CT
207RG0100X
Gastroenterology Physician
MD469399
PA
Other
Enumeration date
03/21/2011
Last updated
02/21/2024
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