MEDICARE: ROBERT JOSEPH TAFURI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	027231	CT
2	207QB0002X	Obesity Medicine (Family Medicine) Physician	027231	CT

General Provider Information

NPI Number	:	1881745339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOSEPH TAFURI MD

Provider Business Mailing Address
First Line	:	200 ORCHARD ST
Second Line	:	402
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-5363
Country	:	US
Telephone Number	:	203-786-5007
Fax Number	:	203-786-5008

Provider Business Practice Location Address
First Line	:	200 ORCHARD STREET
Second Line	:	SUITE 402
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-3224
Country	:	US
Telephone Number	:	203-786-5007
Fax Number	:	203-786-5008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	11/14/2012

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