Active NPIIndividual provider

Tiffany G Beyer

Physician Assistant in New London, Connecticut

NPI Number1992249163
Practice location
365 Montauk Ave, New London, CT 06320-4700
Fax
—
Last updated
November 4, 2024

Tiffany Galicia Beyer is a Physician Assistant based in New London, CT. Tiffany Galicia Beyer practices in New London, CT. The NPI Number for Tiffany Galicia Beyer is 1992249163 and holds a License No. 54060 (CA). The current practice location address for Tiffany Galicia Beyer is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711.

Provider Profile Details

NPI Number
1992249163
Provider Name
Tiffany Galicia Beyer
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, New London, CT 06320-4700
Phone Number
860-442-0711
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2016
Last Update Date
November 4, 2024
Certification Date
November 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4700
Zip
06320-4700
Phone Number
860-442-0711
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
385 W Main St
Avon, CT 06001-4357
City
Avon
State
CT
Zip
06001-4357
Phone Number
203-688-1734

License Information

License Number (1)
54060
License State (1)
CA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
4711
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

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 Tiffany G Beyer?

The NPI number of Tiffany G Beyer is 1992249163. It was assigned on December 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Tiffany G Beyer?

Tiffany G Beyer is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CA under license number 54060.

Where does Tiffany G Beyer practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (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 1992249163 directly on the NPPES registry website.

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