Individual
TARA VIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3000
Mailing address
7 RED ROCK ROAD, BRANFORD, CT 06405
(203) 444-0012
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017774
NY
Other
Enumeration date
07/22/2014
Last updated
05/01/2022
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