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Tara Kapitan, BS
Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut
NPI 1558697102

Tara Kapitan is a Student in an Organized Health Care Education/Training Program based in Bridgeport, CT. Tara Kapitan practices in Bridgeport, CT and has the professional credentials of BS. The NPI Number for Tara Kapitan is 1558697102 and holds a License No. (Connecticut).

The current practice location address for Tara Kapitan is 238 Jewett Ave, Bridgeport, CT and can be reached out via phone at 203-372-4301 and via fax at 203-373-0835. You can also correspond with Tara Kapitan through the mailing address at 238 JEWETT AVE, BRIDGEPORT, CT - 06606-2845 (mailing address contact number: 203-372-4301).

Location: 238 Jewett Ave, Bridgeport, CT, 06606-2845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558697102
Provider Name
Tara Kapitan
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
238 Jewett Ave, Bridgeport, CT, 06606-2845
Phone Number
203-372-4301
Fax Number
203-373-0835
Provider Enumeration Date
11/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004040655 05 CT
institution
Provider Business Practice Location Address Details
Address
238 Jewett Ave
City
Bridgeport
State
Connecticut
Zip
06606-2845
Phone Number
203-372-4301
Fax Number
203-373-0835
person
Provider Business Mailing Address Details
Address
238 Jewett Ave
City
Bridgeport
State
Connecticut
Zip
06606-2845
Phone Number
203-372-4301
Fax Number
203-373-0835
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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