Active NPIIndividual provider

Christopher Tagliavini, PA-C

Physician Assistant, Surgical in Bristol, Connecticut

NPI Number1104228022
Practice location
22 Pine St, Bristol, CT 06010-6948
Fax
860-584-8354
Last updated
September 23, 2014

Christopher Tagliavini is a Physician Assistant, Surgical based in Bristol, CT. Christopher Tagliavini practices in Bristol, CT and has the professional credentials of PA-C. The NPI Number for Christopher Tagliavini is 1104228022 and holds a License No. 3201 (CT). The current practice location address for Christopher Tagliavini is 22 Pine St, Bristol, CT 06010-6948 and can be reached out via phone at 860-584-8291 and via fax at 860-584-8354.

Provider Profile Details

NPI Number
1104228022
Provider Name
Christopher Tagliavini
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
22 Pine St, Bristol, CT 06010-6948
Phone Number
860-584-8291
Fax Number
860-584-8354
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2014
Last Update Date
September 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Pine St
Bristol, CT 06010-6948
Zip
06010-6948
Phone Number
860-584-8291
Fax Number
860-584-8354
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
149 Prospect St
Suffield, CT 06078-3006
City
Suffield
State
CT
Zip
06078-3006
Phone Number
860-584-8291
Fax Number
860-584-8354

License Information

License Number
3201
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistant, Surgical providers near Bristol, CT

View all Physician Assistant, Surgical providers in Bristol →

Frequently Asked Questions

What is the NPI number of Christopher Tagliavini, PA-C?

The NPI number of Christopher Tagliavini, PA-C is 1104228022. It was assigned on September 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Christopher Tagliavini, PA-C?

Christopher Tagliavini, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 3201.

Where does Christopher Tagliavini, PA-C practice?

The practice location is 22 Pine St, Bristol, CT 06010-6948. The office can be reached at 860-584-8291 (phone) or 860-584-8354 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104228022 directly on the NPPES registry website.

Browse related providers