DR. Radford Douglas Tanksley, MD

NPI #1629041728 in Norwich, Connecticut

Provider Information

NPI Number: 1629041728
Entity Type: Individual
Name: DR. Radford Douglas Tanksley, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Feb 9, 2006
Last Updated: Aug 18, 2008

Practice Location

Address: 111 SALEM TPKE
Address 2: SUITE 7
City: Norwich
State: Connecticut
ZIP Code: 06360-6459
Phone: (860) 859-2262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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