NPI 1861497620 · live from the CMS NPI Registry
Tanya Chiarelli Ave'Lallemant, MD
Dermatology in Bristol, CT. National Provider Identifier 1861497620, active.
NPI record
| NPI | 1861497620 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 72 Pine St, Unit 3, Bristol, CT 06010 |
| Practice phone | 860-585-1729 |
| Enumerated | June 17, 2005 |
| Last updated | June 19, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 040734 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.