Individual
TIMOTHY TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 LATHROP RD, PLAINFIELD, CT 06374-2061
(860) 457-9150
(860) 457-2836
Mailing address
PO BOX 138, STONINGTON, CT 06378-0138
(860) 535-3750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
034983
CT
Other
Enumeration date
02/15/2006
Last updated
02/20/2013
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