Individual provider · Type 1 NPI

Micheal Samy Tadros, MD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1457525107 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2000 Map

Fax (860) 679-4613

Mailing address

80 Richmond Hill Rd Apt 4S
Staten Island, NY 10314-7808

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457525107

Micheal Samy Tadros, MD's National Provider Identifier is 1457525107, issued on Apr 14, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Apr 14, 2008.