Active NPIIndividual provider

Andrea C Tavlan, MD

Pediatrics in Ansonia, Connecticut

NPI Number1275775470
Practice location
20 Westfield Avenue, Ansonia, CT 06401-1163
Fax
203-734-9222
Last updated
November 5, 2014

Andrea Charlene Tavlan is a Pediatrics based in Ansonia, CT. Andrea Charlene Tavlan practices in Ansonia, CT and has the professional credentials of MD. The NPI Number for Andrea Charlene Tavlan is 1275775470 and holds a License No. 263861 (NY). The current practice location address for Andrea Charlene Tavlan is 20 Westfield Avenue, Ansonia, CT 06401-1163 and can be reached out via phone at 203-734-1644 and via fax at 203-734-9222.

Provider Profile Details

NPI Number
1275775470
Provider Name
Andrea Charlene Tavlan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20 Westfield Avenue, Ansonia, CT 06401-1163
Phone Number
203-734-1644
Fax Number
203-734-9222
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2009
Last Update Date
November 5, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Westfield Avenue
Ansonia, CT 06401-1163
Zip
06401-1163
Phone Number
203-734-1644
Fax Number
203-734-9222
Ansonia, CT 06401Get directions →

Provider Business Mailing Address Details

Address
20 Westfield Avenue
Ansonia, CT 06401-1163
City
Ansonia
State
CT
Zip
06401-1163
Phone Number
203-734-1644
Fax Number
203-734-9222

License Information

License Number (1)
263861
License State (1)
NY
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
53394
License State (2)
CT
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Andrea C Tavlan, MD?

The NPI number of Andrea C Tavlan, MD is 1275775470. It was assigned on April 2, 2009 and is currently active in the NPPES registry.

What is the specialty of Andrea C Tavlan, MD?

Andrea C Tavlan, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 263861.

Where does Andrea C Tavlan, MD practice?

The practice location is 20 Westfield Avenue, Ansonia, CT 06401-1163. The office can be reached at 203-734-1644 (phone) or 203-734-9222 (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 1275775470 directly on the NPPES registry website.

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