IndividualActive
Austin Tagbo, M.D.
NPI 1306979851 · Internal Medicine Physician · Willimantic, CT
Provider details
- NPI number
- 1306979851
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 040105 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
112 Mansfield Ave
Willimantic, CT 06226-2041
Phone: (860) 680-6119
Approximate (ZIP-level) locationGet directions
Mailing address
17 Parkwoods Dr
Norwich, CT 06360-7524
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.