Individual provider · Type 1 NPI

Danielle M. Tabaka, P.A.

Medical Physician Assistant · Higganum, CT

NPI number 1972596997 Active

Practice location

11 Arkona Dr
Higganum, CT 06441-4479

Call (860) 554-5021 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X001698 (CT)
Medical Physician Assistant Primary 363AM0700X001698 (CT)

Medical Physician Assistant: Definition to come...

About NPI 1972596997

Danielle M. Tabaka, P.A.'s National Provider Identifier is 1972596997, issued on Aug 24, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Higganum, CT. The record was last updated on Jul 7, 2014.