Provider Demographics
NPI:1063662799
Name:TALIERCIO, CHRISTINE JOANNE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:JOANNE
Last Name:TALIERCIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 GLASTONBURY PL UNIT 106
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4424
Mailing Address - Country:US
Mailing Address - Phone:347-693-8964
Mailing Address - Fax:
Practice Address - Street 1:444 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1969
Practice Address - Country:US
Practice Address - Phone:413-598-7575
Practice Address - Fax:413-598-7792
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH0067499207RR0500X
CT51486207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology