Individual
KATHARINE TUMAMPOS DECENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 NEW LONDON TPKE, NORWICH, CT 06360-2624
(860) 889-4600
(860) 889-5200
Mailing address
164 OTROBANDO AVE, NORWICH, CT 06360-2116
(860) 886-0023
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
55689
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008073081
—
CT
Enumeration date
07/16/2010
Last updated
05/28/2019
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