Individual
MICHAEL TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1625 STRAITS TPKE, SUITE 200, MIDDLEBURY, CT 06762-1836
(203) 759-0666
Mailing address
7 POTTER SCHOOL RD, WILLINGTON, CT 06279-2412
(860) 933-3806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3142
CT
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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