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BRYANT A TARR DPM NPI 1205010428


NPI Information

NPI: 1205010428
Provider Name: BRYANT A TARR DPM

Doing Business As: SUDBURY PODIATRY

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
111 BOSTON POST RD
SUITE 108
SUDBURY, MA
ZIP 01776
Phone: (978) 443-4878
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BRYANT A TARR DPM is a foot surgery podiatrist in Sudbury, MA. BRYANT A TARR DPM NPI is 1205010428. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sudbury Podiatry.

The provider's business location address is:

111 BOSTON POST RD
SUITE 108
SUDBURY, MA
ZIP 01776-463
Phone: (978) 443-4878
Fax: (978) 443-1470

The provider's authorized official is Bryant A. Tarr .
The authorized official title is Owner and has the following contact phone number (978) 443-4878.

The enumeration date for this NPI number is 12/24/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery001971MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10993090001MEDICARE NSCMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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