TARA M ACKERLY

WESTERN CONNECTICUT MEDICAL GROUP INC

Dr TARA M ACKERLY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.

Contact

WESTERN CONNECTICUT MEDICAL GROUP INC

20 GERMANTOWN RD
DANBURY
CT
068105023

Tel: 2037394820

TARA M ACKERLY Information

Npi 1831331602
Pac Id 0042448060
Professional Enrollment Id I20140120000031
Last Name ACKERLY
First Name TARA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WESTERN CONNECTICUT MEDICAL GROUP INC
Group Practice Pac Id 4789597691
Number Of Group Practice Members 572
Line 1 Street Address 20 GERMANTOWN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DANBURY
State CT
Zip Code 068105023
Phone Number 2037394820
Hospital Affiliation Ccn 1 070033
Hospital Affiliation Lbn 1 DANBURY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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