Individual provider · Type 1 NPI

James Tautkus, MD

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

NPI number 1487357505 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

64 Robbins St
Waterbury, CT 06708-2600

Other practice locations

  • 160 Robbins St, Waterbury, CT 06708-2652 · (203) 573-7284

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 1487357505

James Tautkus, MD's National Provider Identifier is 1487357505, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 31, 2024.