Tantoco, Mary Rose Gotardo
Tantoco, Mary Rose Gotardo is an individual health care provider with primary practice located at 88 Norwich New London Tpke Ste 2 , Uncasville CT 06382-2518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Tantoco, Mary Rose Gotardo can be contacted via phone (860) 367-0087.Contact Information
Primary practice address
88 Norwich New London Tpke Ste 2
Uncasville CT 06382-2518
Phone: (860) 367-0087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 62257 | Connecticut |
Profile Details
| NPI number | 1336315969 |
|---|---|
| LBN Legal business name | Tantoco, Mary Rose Gotardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2008 |
| Last updated | Apr 3rd, 2019 - about 6 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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