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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA NICOLE CARLESCO, PA-C

Active

TARA NICOLE CARLESCO, PA-C is a Medical Physician Assistant healthcare provider located in WALLINGFORD, Connecticut. NPI 1679059505 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WALLINGFORD, CT

Registration Details

NPI Number
1679059505
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2018 (8.0808774549813 yrs)
Last Updated
Jul 13, 2018
License
4160 (CT)

Practice Information

Address
821 N MAIN STREET EXT STE 210
WALLINGFORD, CT, 064922464
Browse CT providers · Browse ZIP 06492
Phone
2032943610
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in WALLINGFORD, CT

Name Credential NPI
MR. MICHAEL MCMAHON P.A. 1629072442
MARK POWERS PA 1750332144
MARC LANDAU PA 1679524052
ELAINE LARSON PA 1538103338
ANTON ROBERT CHERRY DC, PA-C 1730418757
MS. GINA KELLEY PA-C 1043078041
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.