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