Individual
TARA A MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3063
(607) 547-6859
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3063
(607) 547-6859
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005938
NY
Other
Enumeration date
07/17/2006
Last updated
04/21/2015
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