Individual
DR. TARA SAMANTHA SWIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 565-3055
(508) 894-0757
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 565-3055
(508) 894-0757
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
278662
MA
208100000X
Physical Medicine & Rehabilitation Physician
4301103216
MI
Other
Enumeration date
07/09/2013
Last updated
08/15/2019
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