Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA09153900 | NJ |
Y | 207X00000X | Orthopaedic Surgeon | 64100 | CT |
N | 207X00000X | Orthopaedic Surgeon | MT186772 | PA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA09153900 | NJ |
NPI | 1588867790 |
---|---|
Provider Name | Dominick A Tuason |
First Address | New Haven, CT 06510-3209 |
Second Address | New Haven, CT 06510-3209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 14/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0347787 | (05) | NJ |