NPI 1376173609

Tarik a Ali, PROVIDER

Practitioner Driver Wethersfield, CT

Practice location

Address: 12 Wilcox St, Wethersfield, CT 06109-1250
Phone: (860) 328-9450

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1376173609
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2020
Record last updated: 26 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.