IndividualActive
Tiana Larsow, MD
NPI 1841533858 · Sports Medicine (Family Medicine) Physician · Bridgeport, CT
Provider details
- NPI number
- 1841533858
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 56217 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2800 Main St
Bridgeport, CT 06606-4292
Phone: (203) 576-6000
Approximate (ZIP-level) locationGet directions
Mailing address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Additional practice locations (1)
- 192 Westport AveNorwalk, CT 06851-5231Phone: (203) 853-2610
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2025-05-02
- Certified
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.