Individual
TANYA CHIARELLI AVE'LALLEMANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
72 PINE ST, UNIT 3, BRISTOL, CT 06010-6960
(860) 585-1729
(860) 589-9030
Mailing address
72 PINE ST, UNIT 3, BRISTOL, CT 06010-6960
(860) 585-1729
(860) 589-9030
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
040734
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407346
—
CT
Enumeration date
06/17/2005
Last updated
06/19/2010
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