Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 282289 | NY |
N | 2086S0129X | Vascular Surgeon | 32882 | SC |
Y | 2086S0129X | Vascular Surgeon | 62276 | CT |
N | 2086S0129X | Vascular Surgeon | MD.025529 | LA |
N | 2086S0129X | Vascular Surgeon | TL32882 | SC |
NPI | 1073567772 |
---|---|
Provider Name | Dr. Britt H. Tonnessen |
First Address | New Haven, CT 06520-8062 |
Second Address | New Haven, CT 06520-8062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 23/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
328826 | (05) | SC |
I19577 | (02) | |
P00883534 | RR MEDICARE ID RSFP (01) | SC |