Dr. Austin C Tagbo, MD
Internal Medicine in Willimantic, Connecticut
1306979851- Practice location
- 112 Mansfield Ave, Willimantic, CT 06226-2041
- Phone
- 860-680-6119
- Fax
- —
- Last updated
- July 8, 2007
Austin Chinedu Tagbo is an Internal Medicine based in Willimantic, CT. Austin Chinedu Tagbo practices in Willimantic, CT and has the professional credentials of MD. The NPI Number for Austin Chinedu Tagbo is 1306979851 and holds a License No. 040105 (CT). The current practice location address for Austin Chinedu Tagbo is 112 Mansfield Ave, Willimantic, CT 06226-2041 and can be reached out via phone at 860-680-6119.
Provider Profile Details
- NPI Number
- 1306979851
- Provider Name
- Austin Chinedu Tagbo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 112 Mansfield Ave, Willimantic, CT 06226-2041
- Phone Number
- 860-680-6119
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 13, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Mansfield Ave
Willimantic, CT 06226-2041 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2041
- Phone Number
- 860-680-6119
Provider Business Mailing Address Details
- Address
- 17 Parkwoods Dr
Norwich, CT 06360-7524 - City
- Norwich
- State
- CT
- Zip
- 06360-7524
- Phone Number
- 860-680-6119
License Information
- License Number
- 040105
- License State
- CT
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Austin C Tagbo, MD?
The NPI number of Dr. Austin C Tagbo, MD is 1306979851. It was assigned on March 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Austin C Tagbo, MD?
Dr. Austin C Tagbo, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 040105.
Where does Dr. Austin C Tagbo, MD practice?
The practice location is 112 Mansfield Ave, Willimantic, CT 06226-2041. The office can be reached at 860-680-6119 (phone).
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 1306979851 directly on the NPPES registry website.