Provider Demographics
NPI:1669419552
Name:HEMMAPLARDH, TATONG (MD)
Entity type:Individual
Prefix:DR
First Name:TATONG
Middle Name:
Last Name:HEMMAPLARDH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-3038
Mailing Address - Country:US
Mailing Address - Phone:860-666-5119
Mailing Address - Fax:860-666-9269
Practice Address - Street 1:1268 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-3038
Practice Address - Country:US
Practice Address - Phone:860-666-5119
Practice Address - Fax:860-666-9269
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT024446207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB84055Medicare UPIN