Tagbo, Austin Chinedu

Tagbo, Austin Chinedu is an individual health care provider with primary practice located at 112 Mansfield Ave , Willimantic CT 06226-2041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tagbo, Austin Chinedu can be contacted via phone (860) 680-6119.

Contact Information

Primary practice address
112 Mansfield Ave Willimantic CT 06226-2041
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 040105 Connecticut

Profile Details

NPI number 1306979851
LBN Legal business name Tagbo, Austin Chinedu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 19 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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