Dr. Mary Rose G Tantoco, MD
Internal Medicine, Nephrology in Uncasville, Connecticut
1336315969- Practice location
- 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518
- Phone
- 860-367-0087
- Fax
- —
- Last updated
- April 3, 2019
Mary Rose Gotardo Tantoco is an Internal Medicine, Nephrology based in Uncasville, CT. Mary Rose Gotardo Tantoco practices in Uncasville, CT and has the professional credentials of MD. The NPI Number for Mary Rose Gotardo Tantoco is 1336315969 and holds a License No. 62257 (CT). The current practice location address for Mary Rose Gotardo Tantoco is 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518 and can be reached out via phone at 860-367-0087.
Provider Profile Details
- NPI Number
- 1336315969
- Provider Name
- Mary Rose Gotardo Tantoco
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518
- Phone Number
- 860-367-0087
- Primary Taxonomy
- Internal Medicine, Nephrology · 207RN0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2008
- Last Update Date
- April 3, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 Norwich New London Tpke Ste 2
Uncasville, CT 06382-2518 - City
- Uncasville
- State
- Connecticut
- Zip
- 06382-2518
- Phone Number
- 860-367-0087
Provider Business Mailing Address Details
- Address
- 88 Norwich New London Tpke Ste 2
Uncasville, CT 06382-2518 - City
- Uncasville
- State
- CT
- Zip
- 06382-2518
- Phone Number
- 860-367-0087
License Information
- License Number
- 62257
- License State
- CT
- Taxonomy
- Internal Medicine, Nephrology · 207RN0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Nephrology providers near Uncasville, CT
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Frequently Asked Questions
What is the NPI number of Dr. Mary Rose G Tantoco, MD?
The NPI number of Dr. Mary Rose G Tantoco, MD is 1336315969. It was assigned on May 4, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Rose G Tantoco, MD?
Dr. Mary Rose G Tantoco, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in CT under license number 62257.
Where does Dr. Mary Rose G Tantoco, MD practice?
The practice location is 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518. The office can be reached at 860-367-0087 (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 1336315969 directly on the NPPES registry website.