# GERALD MARK TARNOFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881600153
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | MD07782 | RI | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD07782 | RI | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 05/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1093831646 | BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE | RI |
| 01 | — | 1104801349 | BUTLER HOSPITAL NPI | RI |
| 01 | — | 15-58434 | UNITED BEHAVIORAL HEALTH | RI |
| 01 | — | 203937 | BLUE CHIP | RI |
| 01 | — | 25397-2 | BLUE CROSS | RI |
| 05 | — | 7001761 | — | RI |