Individual provider · Type 1 NPI

Edmund Tamas Takata

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

NPI number 1518808906 Active

Practice location

90 S Main St Ste 201
Middletown, CT 06457-3649

Call (860) 358-6418 Map

Other practice locations

  • 13 High St, Portland, CT 06480-1616 · (860) 358-6418
  • 42 E High St Ste 205, East Hampton, CT 06424-1056 · (860) 358-6418

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 1518808906

Edmund Tamas Takata's National Provider Identifier is 1518808906, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Middletown, CT. The record was last updated on Jun 22, 2026.