Individual
TARANNUM MALWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
396 CROMWELL AVE, ROCKY HILL, CT 06067
(860) 372-4990
Mailing address
39 BUCKLAND ST APT 1112-4, MANCHESTER, CT 06042-7721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7488
CT
Other
Enumeration date
04/23/2018
Last updated
01/20/2019
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