Active NPIIndividual provider

Gary S Tennyson, PHD, MD

Pathology, Anatomic Pathology & Clinical Pathology in Shelton, Connecticut

NPI Number1659404481
Practice location
1 Forest Pkwy, Shelton, CT 06484-6147
Fax
—
Last updated
January 13, 2009

Gary Scott Tennyson is a Pathology, Anatomic Pathology & Clinical Pathology based in Shelton, CT. Gary Scott Tennyson practices in Shelton, CT and has the professional credentials of PHD, MD. The NPI Number for Gary Scott Tennyson is 1659404481 and holds a License No. 040058 (CT). The current practice location address for Gary Scott Tennyson is 1 Forest Pkwy, Shelton, CT 06484-6147 and can be reached out via phone at 203-926-7143.

Provider Profile Details

NPI Number
1659404481
Provider Name
Gary Scott Tennyson
Credential
PHD, MD
Provider Entity Type
Individual
Gender
Male
Address
1 Forest Pkwy, Shelton, CT 06484-6147
Phone Number
203-926-7143
Sole Proprietor
No
Provider Enumeration Date
March 13, 2007
Last Update Date
January 13, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Forest Pkwy
Shelton, CT 06484-6147
Zip
06484-6147
Phone Number
203-926-7143
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
4 Nickel Mine Dr
Seymour, CT 06483-2472
City
Seymour
State
CT
Zip
06483-2472
Phone Number
203-953-1200

License Information

License Number (1)
040058
License State (1)
CT
Taxonomy (1)
Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
License Number (2)
ME65534
License State (2)
FL

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 Gary S Tennyson, PHD, MD?

The NPI number of Gary S Tennyson, PHD, MD is 1659404481. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Gary S Tennyson, PHD, MD?

Gary S Tennyson, PHD, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 040058.

Where does Gary S Tennyson, PHD, MD practice?

The practice location is 1 Forest Pkwy, Shelton, CT 06484-6147. The office can be reached at 203-926-7143 (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 1659404481 directly on the NPPES registry website.

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