JAMES TAVORNWATTANA

WATERBURY, CT
NPI1902366503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CT  069841)
Enumeration Date2019-03-21
Last Update Date2022-08-25
Business Address
JAMES TAVORNWATTANA MD
64 ROBBINS ST
WATERBURY, CT 06708-2613
Phone number: 718-593-1761
Mailing Address
JAMES TAVORNWATTANA MD
64 ROBBINS ST
WATERBURY, CT 06708-2600
Phone number: