Individual
DR. EMILIE A TACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
830 OAK ST STE 124E, BROCKTON, MA 02301-1192
(508) 897-4730
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-4505
(781) 255-0774
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
246375
MA
207V00000X
Obstetrics & Gynecology Physician
5101017260
MI
Other
Enumeration date
12/11/2007
Last updated
03/17/2025
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