Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 04689 | CT |
NPI | 1194801043 |
---|---|
Provider Name | Alda Tufro |
First Address | New Haven, CT 06520-8064 |
Second Address | New Haven, CT 06504-8901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 02/10/2008 |