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Individual
DR. ROBERT P TARDIF
Active
Individual
DR. ROBERT P TARDIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1308
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265590099
—
ME
01
—
MM491901
MEDICARE PTAN
ME
Enumeration date
07/10/2006
Last updated
11/30/2020
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