Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 66448 | CT |
NPI | 1013371756 |
---|---|
Provider Name | Dr. Neelam Tailor |
First Address | Farmington, CT 06030-1921 |
Second Address | Farmington, CT 06030-1921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2016 |
Last Update Date | 06/09/2020 |