Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 000408 | CT |
NPI | 1003915778 |
---|---|
Provider Name | Dr. John P Tauro |
First Address | Norwich, CT 06360-2247 |
Second Address | Norwich, CT 06360-2247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 01/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004001897 | (05) | CT |
G05530 | (02) | CT |