Individual provider · Type 1 NPI

Gail Fulco-Tantorski, PA-C

Surgical Physician Assistant · Bridgeport, CT

NPI number 1104026293 Active

Practice location

2800 Main St, Dept. Of Surgery
Bridgeport, CT 06606-4201

Call (203) 576-6000 Map

Mailing address

2600 Main St, Dept. Of Surgery
Bridgeport, CT 06606-5305

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000471 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1104026293

Gail Fulco-Tantorski, PA-C's National Provider Identifier is 1104026293, issued on Jul 18, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 26, 2024.