Provider Demographics
NPI:1174544027
Name:CARRINGTON-TRIBBLE, PAMELA CELESTE (DO)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:CELESTE
Last Name:CARRINGTON-TRIBBLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2212
Mailing Address - Country:US
Mailing Address - Phone:650-421-6242
Mailing Address - Fax:
Practice Address - Street 1:816 BROAD ST STE 24
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-4350
Practice Address - Country:US
Practice Address - Phone:203-634-0086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2OA6216207Q00000X
CT77621207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF59797Medicare UPIN