Madrid, Tanya M

Madrid, Tanya M is an individual health care provider with primary practice located at 292 Long Ridge Rd Ste 103 , Stamford CT 06902-1627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Madrid, Tanya M can be contacted via phone (203) 348-9455.

Contact Information

Primary practice address
292 Long Ridge Rd Ste 103 Stamford CT 06902-1627
Phone: (203) 348-9455
Fax: (203) 348-9183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 211428 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 69122 Connecticut

Profile Details

NPI number 1578553707
LBN Legal business name Madrid, Tanya M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578553707 NPPES
New York MEDICAID 02094613

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