J Michael Tiberii

NPI 1063512853 - Dentist - 1223G0001X

NPI Details
NPI 1063512853
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
643 ROUTE 184
GROTON CT, 06340, US
Phone (860) 445-8569
Business Location
MYSTIC CT, 06355-1640, US
Phone (860) 245-0492
Taxonomy Code 1223G0001X
License State Connecticut
License Number 4459
Remove 1063512853 NPI Number

According to our database, Dr. J Michael Tiberii NPI is 1063512853, taxonomy code is 1223G0001X and license number is 4459, license state is located at Connecticut. J Michael Tiberii physically located at 643 Route 184, Groton CT, 06340. NPI Number J Michael Tiberii has the Individual type.

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1063512853 NPI number is provided on an as is basis without warranty of any kind. 1063512853 is maintained by the National Plan & Provider Enumeration System. The contents of J Michael Tiberii are for informational purposes only.