Individual
MS. TARA P. ITRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8073
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1683
MA
Other
Enumeration date
09/20/2006
Last updated
03/09/2010
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