Doctor Name: | DR. JUDY K TAM |
NPI Number: | 1619994498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 042-0009170 |
Business Practice Address: | 111 Colchester Ave Department Of Radiology Burlington, VT - 054011473 |
Business Phone Number: | 8028473592 |
Business Fax Number: | 8028474822 |
Mailing Address: | 113 Terrace Dr, WILLISTON |
State: | VT |
Postal Code: | 054952135 |
Phone Number: | 8028793468 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 042-0009170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |