Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 51486 | CT |
N | 207RR0500X | Rheumatology | H0067499 | MD |
NPI | 1063662799 |
---|---|
Provider Name | Dr. Christine Joanne Taliercio |
First Address | Glastonbury, CT 06033-4424 |
Second Address | Chicopee, MA 01020-1969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2008 |
Last Update Date | 29/10/2018 |