Doctor Name: | BRYANT A. TARR |
NPI Number: | 1013906171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 1971 |
Business Practice Address: | 111 Boston Post Rd Suite 108 Sudbury, MA - 017762463 |
Business Phone Number: | 9784434878 |
Business Fax Number: | 9784431470 |
Mailing Address: | 111 Boston Post Rd, Ste108 SUDBURY |
State: | MA |
Postal Code: | 017762463 |
Phone Number: | 9784434878 |
Fax Number: | 9784431470 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | 1971 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |