MICHAEL TABAK

HARTFORD, CT
NPI1205233947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  5988)
Enumeration Date2014-11-24
Last Update Date2014-11-24
Business Address
MICHAEL TABAK CRNA
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-6654
Mailing Address
MICHAEL TABAK CRNA
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-6654