Tillman, Elizabeth A

Tillman, Elizabeth A is an individual health care provider with primary practice located at 1 Cellini Pl Ste 102 , West Haven CT 06516-1666. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tillman, Elizabeth A can be contacted via phone (203) 932-6481.

Contact Information

Primary practice address
1 Cellini Pl Ste 102 West Haven CT 06516-1666
Phone: (203) 932-6481
Fax: (203) 932-4051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43227 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 043227 Connecticut

Profile Details

NPI number 1326014630
LBN Legal business name Tillman, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Sep 10th, 2025 - about last year

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 1326014630 NPPES
Connecticut Other 010043227CT01 BLUE CROSS
Connecticut MEDICAID 001432278 BLUE CROSS

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