Tello, Enrique J
Tello, Enrique J is an individual health care provider with primary practice located at 60 Washington Ave Suite 304, Hamden CT 06518-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Tello, Enrique J can be contacted via phone (203) 281-2890.Contact Information
Primary practice address
60 Washington Ave Suite 304
Hamden CT 06518-3271
Phone: (203) 281-2890
Fax: (203) 281-2896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 040565 | Connecticut |
Profile Details
| NPI number | 1154319416 |
|---|---|
| LBN Legal business name | Tello, Enrique J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jun 11th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154319416 | NPPES |
| Connecticut | Other | 260004862 | MEDICARE ID PTAN |
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