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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CRISTINA M TELLECHEA, MD
80 SHUNPIKE RD
CROMWELL, CT06416-4401
 Phone: 860-632-5570
 Fax: 860-358-8650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CRISTINA M TELLECHEA · (Female)

NPI Number 1679736169
Credentials MD
Entity Individual
Enumeration date 07/07/2008
Last updated 07/31/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
CT License # 051033
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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