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Elizabeth Anna Ta, DO
Student in an Organized Health Care Education/Training Program in Middletown, Connecticut
NPI 1134869795

Elizabeth Anna Ta is a Student in an Organized Health Care Education/Training Program based in Middletown, CT. Elizabeth Anna Ta practices in Middletown, CT and has the professional credentials of DO. The NPI Number for Elizabeth Anna Ta is 1134869795 and holds a License No. (Connecticut).

The current practice location address for Elizabeth Anna Ta is 90 S Main St Ste 201, Middletown, CT and can be reached out via phone at 860-358-6300.

Location: 90 S Main St Ste 201, Middletown, CT, 06457-3649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134869795
Provider Name
Elizabeth Anna Ta
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
90 S Main St Ste 201, Middletown, CT, 06457-3649
Phone Number
860-358-6300
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 S Main St Ste 201
City
Middletown
State
Connecticut
Zip
06457-3649
Phone Number
860-358-6300
Fax Number
person
Provider Business Mailing Address Details
Address
90 S Main St Ste 201
City
Middletown
State
Connecticut
Zip
06457-3649
Phone Number
860-358-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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