Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANZOR TATASHADZE
ActiveMR. ANZOR TATASHADZE is a Contractor healthcare provider located in WETHERSFIELD, Connecticut. NPI 1447739321 is currently active in the NPPES registry. Verify at CMS.
Contractor · WETHERSFIELD, CT
Registration Details
- NPI Number
- 1447739321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2018 (8.0098795341975 yrs)
- Last Updated
- Aug 10, 2018
Practice Information
- Address
-
303 NOTT STWETHERSFIELD, CT, 061091621Browse CT providers · Browse ZIP 06109
- Phone
- 8606565404
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.