COLLINS A. TABIRI
Physician/surgeon


Address: 13 Faxon St, Newton, MA 02458-1012

COLLINS A. TABIRI (Credential# 992574) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2011. The license expiration date date is April 30, 2017. The license status is PENDING.

Business Overview

COLLINS A. TABIRI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049718. The credential type is physician/surgeon. The effective date is April 13, 2011. The expiration date is April 30, 2017. The business address is 13 Faxon St, Newton, MA 02458-1012. The current status is pending.

Basic Information

Licensee Name COLLINS A. TABIRI
Credential ID 992574
Credential Number 1.049718
Credential Type Physician/Surgeon
Business Address 13 Faxon St
Newton
MA 02458-1012
Business Type INDIVIDUAL
Status PENDING - REINSTATEMENT PENDING
Issue Date 2011-04-13
Effective Date 2011-04-13
Expiration Date 2017-04-30
Refresh Date 2020-05-26

Other licenses

ID Credential Code Credential Type Issue Term Status
509721 CSP.0044075 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-08-06 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 13 FAXON ST
City NEWTON
State MA
Zip Code 02458-1012

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Competitor

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City NEWTON
Zip Code 02458
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEWTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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