NPI 1972904498

Momo Tanaka

Practitioner Veterinarian Norwalk, CT

Practice location

Address: 123 W Cedar St, Norwalk, CT 06854-1917
Phone: (203) 854-9960
Mailing address: 27 Fairfield Ave APT A2, Norwalk, CT 06854-2143

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 003963 (CT)

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Registry record

NPI: 1972904498
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2014
Record last updated: 16 Sep 2014

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.