TARA CARLESCO, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1679059505
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 4160 (CT) |
Frequently Asked Questions
NPI 1679059505 is the National Provider Identifier for TARA CARLESCO, PA-C, a Physician Assistant - Medical provider located in Wallingford, CT. This NPI was enumerated on July 13, 2018.
TARA CARLESCO, PA-C practices at 821 N MAIN STREET EXT STE 210, Wallingford, CT 06492.
Quick Facts
- NPI
- 1679059505
- Type
- Individual
- Enumerated
- Jul 13, 2018
- Last Updated
- Jul 13, 2018
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