DR. Tamika Blackburn, M.D.

NPI #1053593079 in Wethersfield, Connecticut

Provider Information

NPI Number: 1053593079
Entity Type: Individual
Name: DR. Tamika Blackburn, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 30, 2007
Last Updated: Oct 14, 2019

Practice Location

Address: 1260 SILAS DEANE HWY STE 103
City: Wethersfield
State: Connecticut
ZIP Code: 06109-4363
Phone: (860) 563-9518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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