Male or Other

Dr. Matthew B. Tichauer M.D.

Emergency Medicine Physician in Hartford, CT(View on Map)

Full Name

Dr. Matthew Brent Tichauer M.D.

NPI Number

1194073437

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/16/2012

Specialties

(Taxonomies)

Code

207P00000X
207RP1001X
2086S0102X

Primary Taxonomy

Yes
No
No

Licenses

State

Connecticut
Connecticut

License Number

054290
54290

Contact
Information

Purpose

Mailing
Location

Address

80 SEYMOUR STREET
80 SEYMOUR STREET

City

Hartford
Hartford

State

CT
CT

Postal Code

06102-5037
06102-5037

Country

US
US

Telephone Number

(860) 972-0000
(860) 972-0000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/13/2015

Provider Address

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