NPI 1447739321

Anzor Tatashadze

Practitioner Contractor Wethersfield, CT

Practice location

Address: 303 Nott St, Wethersfield, CT 06109-1621
Phone: (860) 656-5404

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1447739321
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2018
Record last updated: 10 Aug 2018

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.