| Christopher Tagliavini, PA-C | |
|
22 Pine St, Bristol, CT 06010-6948 | |
| (860) 584-8291 | |
| (860) 584-8354 |
| Full Name | Christopher Tagliavini |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 22 Pine St, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104228022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 3201 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Tagliavini, PA-C 149 Prospect St, Suffield, CT 06078-3006 Ph: (860) 584-8291 | Christopher Tagliavini, PA-C 22 Pine St, Bristol, CT 06010-6948 Ph: (860) 584-8291 |
Ashley Anne Proulx, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Pine St Ste 104, Bristol, CT 06010 Phone: 860-584-8291 |
Gina F Lidestri, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3313 |
Mr. Joseph Claude Labell Jr., MHS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1301 Farmington Ave, Bristol, CT 06010 Phone: 860-589-4501 |
Shelby Spazzarini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Collins Rd, Bristol, CT 06010 Phone: 860-589-8882 Fax: 860-585-8898 |
Erica Stolarz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 |
Antonio Santoro, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bristol Hospital, Brewster Rd., Bristol, CT 06011 Phone: 860-585-3528 |
Mrs. Katherine B Bares, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 N Main St, Bristol, CT 06010 Phone: 860-585-5000 Fax: 860-585-5050 |