Tamborlane, William V

Tamborlane, William V is an individual health care provider with primary practice located at 2 Church St S Suite 511, New Haven CT 06519-1717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Tamborlane, William V can be contacted via phone (203) 764-9199.

Contact Information

Primary practice address
2 Church St S Suite 511 New Haven CT 06519-1717
Phone: (203) 764-9199
Fax: (203) 764-9149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 017434 Connecticut

Profile Details

NPI number 1124001342
LBN Legal business name Tamborlane, William V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Apr 6th, 2011 - about 14 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 1124001342 NPPES
Connecticut MEDICAID 001174341

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