Individual provider · Type 1 NPI
Momo Tanaka
Veterinarian · Norwalk, CT
NPI number
1972904498
Active
Practice location
123 W Cedar St
Norwalk, CT 06854-1917
Mailing address
27 Fairfield Ave Apt A2
Norwalk, CT 06854-2143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Veterinarian Primary | 174M00000X | 003963 (CT) |
Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
About NPI 1972904498
Momo Tanaka's National Provider Identifier is 1972904498, issued on Sep 16, 2014. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Norwalk, CT. The record was last updated on Sep 16, 2014.