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

Edmund Tamas Takata

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518808906

Edmund Tamas Takata is a Student in an Organized Health Care Education/Training Program in Middletown, Connecticut. Works from 3 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2026

Practice location Address checks out

90 S Main St Ste 201
Middletown, CT 06457-3649
Phone: (860) 358-6418
Show map & directions

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

Additional practice locations (2)

  • 42 E High St Ste 205, East Hampton, CT 06424-1056 — (860) 358-6418
  • 13 High St, Portland, CT 06480-1616 — (860) 358-6418

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CT)

Record details

NPI number1518808906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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