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Individual

HAROLD TARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1450 CHAPEL STREET, SUITE A, NEW HAVEN, CT 06511
(203) 867-5420
(203) 867-5422
Mailing address
19 LUNAR DRIVE, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-1666

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036991
CT
207RX0202X
Medical Oncology Physician
Primary
036991
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001369918
CT
Enumeration date
06/07/2006
Last updated
01/29/2013
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