Tara Nicole Carlesco, PA-C
NPI #1679059505 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1679059505
- Entity Type
- Individual
- Name
- Tara Nicole Carlesco, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 13, 2018
- Last Updated
- Jul 13, 2018
Practice Location
- Address
- 821 N MAIN STREET EXT STE 210
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-2464
- Phone
- (203) 294-3610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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