Individual provider · Type 1 NPI

Tyler Timpone, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1023687480 Active

Practice location

114 Woodland St
Hartford, CT 06105-1208

Call (860) 714-4000 Map

Mailing address

9 Monroe Rd
Enfield, CT 06082-5317

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1023687480

Tyler Timpone, PA-C's National Provider Identifier is 1023687480, issued on Jun 21, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Jun 21, 2021.