Individual
MRS. TARA M. COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 CLARK RD, 2ND FLOOR, TEWKSBURY, MA 01876-1699
(978) 458-6900
(978) 458-1670
Mailing address
219 CENTRE ST, MALDEN, MA 02148-5524
(781) 322-7300
(781) 322-0075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN273635
MA
Other
Enumeration date
08/20/2012
Last updated
07/01/2024
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