TIANA MARI LARSOW MD
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1841533858- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2800 MAIN ST, BRIDGEPORT, CT, 066064292
- Phone
- (203) 576-6000
Specialties & Taxonomies
Family Medicine
License: CT #56217
Family Medicine, Sports Medicine
Primary License: CT #56217
All Addresses
MAILING
1290 SILAS DEANE HWY HHC-CVO
WETHERSFIELD, CT, 061094337