Individual
TIFFANY GALICIA BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
385 W MAIN ST, AVON, CT 06001-4357
(203) 688-1734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4711
CT
363AM0700X
Medical Physician Assistant
54060
CA
Other
Enumeration date
12/07/2016
Last updated
11/04/2024
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