person
Tara Nicole Carlesco, PA-C
Medical Physician Assistant in Wallingford, Connecticut
NPI 1679059505

Tara Nicole Carlesco is a Medical Physician Assistant based in Hamden, CT and is specialized in Medical. Tara Nicole Carlesco practices in Wallingford, CT and has the professional credentials of PA-C. The NPI Number for Tara Nicole Carlesco is 1679059505 and holds a License No. 4160 (Connecticut).

The current practice location address for Tara Nicole Carlesco is 821 N Main Street Ext Ste 210, Wallingford, CT and can be reached out via phone at 203-294-3610. You can also correspond with Tara Nicole Carlesco through the mailing address at 10321 TOWN WALK DR # 10321, HAMDEN, CT - 06518-3721 (mailing address contact number: 315-430-4042).

Location: 821 N Main Street Ext Ste 210, Wallingford, CT, 06518-3721
person
Provider Profile Details
NPI Number
1679059505
Provider Name
Tara Nicole Carlesco
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
821 N Main Street Ext Ste 210, Wallingford, CT, 06518-3721
Phone Number
203-294-3610
Fax Number
Provider Enumeration Date
07/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
821 N Main Street Ext Ste 210
City
State
Zip
06492-2464
Phone Number
203-294-3610
Fax Number
person
Provider Business Mailing Address Details
Address
10321 Town Walk Dr # 10321
City
State
Zip
06518-3721
Phone Number
315-430-4042
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4160 (Connecticut)
Definition
Definition to come...
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