MR. ANZOR TATASHADZE
Contractor
Active
Individual
NPI: 1447739321
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1447739321 is the National Provider Identifier for MR. ANZOR TATASHADZE, a Contractor provider located in Wethersfield, CT. This NPI was enumerated on August 10, 2018.
MR. ANZOR TATASHADZE practices at 303 NOTT ST, Wethersfield, CT 06109.
Quick Facts
- NPI
- 1447739321
- Type
- Individual
- Enumerated
- Aug 10, 2018
- Last Updated
- Aug 10, 2018
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