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Individual

DR. JOHN CHARLES TENTINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
51 S MAIN ST, MIDDLETOWN, CT 06457-3606
(860) 347-0720
(860) 347-0301
Mailing address
51 S MAIN ST, MIDDLETOWN, CT 06457-3606
(860) 347-0720
(860) 347-0301

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
025519
CT
207L00000X
Anesthesiology Physician
37341
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001255199
CT
Enumeration date
07/19/2006
Last updated
08/15/2016
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