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Contact Information

TIANA M LARSOW, MD
2800 MAIN ST
BRIDGEPORT, CT06606-4292
 Phone: 203-576-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIANA M LARSOW · (Female)

NPI # 1841533858
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2013
Last updated 05/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 56217
Hospital affiliation(s)
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    2800 MAIN ST
    BRIDGEPORT, CT 06606
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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