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

TIANA MARI LARSOW, MD

Active

TIANA MARI LARSOW, MD is a Sports Medicine healthcare provider located in BRIDGEPORT, Connecticut. NPI 1841533858 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · BRIDGEPORT, CT

Registration Details

NPI Number
1841533858
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2013 (13.336984303299 yrs)
Last Updated
May 2, 2025
Licenses
56217 (CT)
56217 (CT)

Practice Information

Address
2800 MAIN ST
BRIDGEPORT, CT, 066064292
Browse CT providers · Browse ZIP 06606
Phone
2035766000
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine
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.