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Individual

BRYANT A. TARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
111 BOSTON POST RD, SUITE 108, SUDBURY, MA 01776-2463
(978) 443-4878
(978) 443-1470
Mailing address
111 BOSTON POST RD, STE108, SUDBURY, MA 01776-2463
(978) 443-4878
(978) 443-1470

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1971
MA
213ES0000X
Sports Medicine Podiatrist
1971
MA
213ES0131X
Foot Surgery Podiatrist
1971
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0357898
MA
Enumeration date
10/20/2005
Last updated
01/07/2008
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