Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Rose Gotardo Tantoco, MD

Individual provider Nephrology Physician · NPI 1336315969

Dr. Mary Rose Gotardo Tantoco, MD is a Nephrology in Uncasville, Connecticut. Qualified in 2009, 17 years ago. Practices with Southeastern CT Nephrology Assoc PC, a 4-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
17
Licensed in
CT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

88 Norwich New London Tpke Ste 2
Uncasville, CT 06382-2518
Phone: (860) 367-0087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 62257 (CT)

Record details

NPI number1336315969
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2008
Last updated in NPPESApril 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southeastern Ct Nephrology Assoc Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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