DR. MARY ROSE GOTARDO TANTOCO


Address: 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518
Phone: 8603670087

DR. MARY ROSE GOTARDO TANTOCO (NPI# 1336315969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336315969
Entity Type Individual
Full Name DR. MARY ROSE GOTARDO TANTOCO
Credential M.D.
Practice Address 88 Norwich New London Tpke Ste 2
Uncasville
CT 06382-2518
Practice Telephone 8603670087
Mailing Telephone 8603670087
Enumeration Date 2008-05-04
Last Update Date 2019-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
62257 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 88 NORWICH NEW LONDON TPKE STE 2
City UNCASVILLE
State CT
Zip Code 06382-2518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235336934 Saqib Inayatullah Internal Medicine 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 2007-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730301011 Kelly Susan Roberge Marriage & Family Therapist 20 Maple Ave., Uncasville, CT 06382 2007-05-03
1427172543 Madeleine Sherwood Lefker Speech-Language Pathologist 303 Norwich New London Tpke., Uncasville, CT 06382 2007-03-16
1245385426 Community Therapeutix PC Acupuncturist 88 Norwich New London Turnpike, Suite 1, Uncasville, CT 06382 2007-01-25
1619031796 Southeastern Ct Nephrology Assoc PC Internal Medicine 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 2006-12-21
1598833725 Orchard Grove Specialty Care Center Nursing Facility/Intermediate Care Facility 5 Richard Brown Drive, Uncasville, CT 06382 2006-12-04
1659459584 Rachel Elizabeth Vitello Occupational Therapist 303 Norwich New London Turnpike, Uncasville, CT 06382 2006-11-01
1093739310 Regina Ann Strand Optometrist 2020 Norwich New London Turnpike, Unit 8, Uncasville, CT 06382 2006-07-27
1225096084 Ronald Miner Hughes Social Worker 20 Maple Ave, Montville, CT 06382 2006-05-02
1184690703 Peter S Hahn Internal Medicine 2020 Norwich New London Tpke Ste 12, Uncasville, CT 06382 2006-02-24
1922595222 Mallory Muzykoski Nurse Practitioner 620 Norwich New London Tpke, Uncasville, CT 06382 2018-04-23
Find all providers in zip 06382

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619031796 Southeastern Ct Nephrology Assoc PC Internal Medicine 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 2006-12-21
1841285988 Mihkel J Haus Internal Medicine 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 2005-09-14
1013018357 Altaf Rasool Internal Medicine 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 2006-09-26
1558473801 Mihaela Olivia Negulescu Internal Medicine 88 Norwich New London Tpke, Uncasville, CT 06382-2518 2006-08-31
1952397549 Thomas C Peter Internal Medicine 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382-2518 2005-09-20
1841285509 Jay M Ginsberg Internal Medicine 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382-2518 2005-09-19
1831184977 Donald J Felitto Internal Medicine 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382-2518 2005-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962941583 Robert Bailey Internal Medicine 5 Loeffler Rd, Bloomfield, CT 06002-2255 2017-02-15
1144518861 Andrea Roche Recinos Internal Medicine 111 Osborne St Ste 210, Danbury, CT 06810-6031 2011-07-14
1386805299 Sujata Kale Internal Medicine 411 Robin Ct, Cheshire, CT 06410-2427 2008-06-23
1881855021 Peter Uri Feig Internal Medicine 396 Vineyard Point Rd, Guilford, CT 06437-3255 2008-06-20
1679757629 William Gee Chang Internal Medicine Bb114 330 Cedar St, Yale Nephrology, New Haven, CT 06520 2007-12-27
1205944089 Anthony J Cusano II Internal Medicine 140 Grandview Avenue, Suite L02, Waterbury, CT 06708 2006-08-29
1518937622 Nazanine Khairkhah Internal Medicine 49 Lake Ave Ste 1b, Greenwich, CT 06830-4501 2006-01-23
1205816311 Jennifer L. Rivers Internal Medicine 550 Main Street, Hartford City Town Hall, Hartford, CT 06103 2006-01-17
1558346056 Daniel I Geisser Internal Medicine 55 Lock St, Yale Health, New Haven, CT 06511-3603 2005-12-07
1275518771 Stephen J Huot Internal Medicine 789 Howard Avenue, Dana Building 3rd Floor, New Haven, CT 06510-8056 2005-12-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City UNCASVILLE
Zip Code 06382

Improve Information

Please comment or provide details below to improve the information on DR. MARY ROSE GOTARDO TANTOCO.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches