Individual
TARA COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 YORK ST SPC 2213, MDRAD DIAGNOSTIC RADIOLOGY, NEW HAVEN, CT 06510-3220
(203) 370-7726
Mailing address
PO BOX 208042, MDRAD DIAGNOSTIC RADIOLOGY, NEW HAVEN, CT 06520-8042
(203) 370-7726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.002740
CT
Other
Enumeration date
04/19/2012
Last updated
05/03/2017
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