Provider Demographics
NPI:1043430366
Name:BRIERLEY, TAMIKA TRAUT (MD)
Entity Type:Individual
Prefix:MISS
First Name:TAMIKA
Middle Name:TRAUT
Last Name:BRIERLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053
Mailing Address - Country:US
Mailing Address - Phone:860-229-3534
Mailing Address - Fax:860-229-1072
Practice Address - Street 1:1095 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053
Practice Address - Country:US
Practice Address - Phone:860-229-3534
Practice Address - Fax:860-229-1072
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics