Tinetti, Mary E

Tinetti, Mary E is an individual health care provider with primary practice located at 789 Howard Ave Dana Building, 3Rd Fl, New Haven CT 06519-1304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Tinetti, Mary E can be contacted via phone (203) 688-6361.

Contact Information

Primary practice address
789 Howard Ave Dana Building, 3Rd Fl New Haven CT 06519-1304
Phone: (203) 688-6361
Fax: (203) 688-4209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 025669 Connecticut

Profile Details

NPI number 1235114794
LBN Legal business name Tinetti, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Apr 6th, 2011 - about 13 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 1235114794 NPPES
Connecticut MEDICAID 001256692

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