Individual provider · Type 1 NPI

Tara Nicole Carlesco, PA-C

Medical Physician Assistant · Wallingford, CT

NPI number 1679059505 Active

Practice location

821 N Main Street Ext Ste 210
Wallingford, CT 06492-2464

Call (203) 294-3610 Map

Mailing address

10321 Town Walk Dr # 10321
Hamden, CT 06518-3721

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4160 (CT)

Medical Physician Assistant: Definition to come...

Another provider at this address

Other medical physician assistant providers in Wallingford

See all in Wallingford →

About NPI 1679059505

Tara Nicole Carlesco, PA-C's National Provider Identifier is 1679059505, issued on Jul 13, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wallingford, CT. The record was last updated on Jul 13, 2018.