Doctor Name: | MS. TAMAR E SIRACUSA |
NPI Number: | 1013341163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN2278596 |
Business Practice Address: | 110 W Squantum St North Quincy, MA - 021712122 |
Business Phone Number: | 6173763000 |
Business Fax Number: | 6177741905 |
Mailing Address: | 110 W Squantum St, NORTH QUINCY |
State: | MA |
Postal Code: | 021712122 |
Phone Number: | 6173763000 |
Fax Number: | 6177741906 |
NPI Enumeration Date: | 08/26/2013 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN2278596 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |