Individual
DR. JOAO M. TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 PARK ST, HYANNIS, MA 02601-5204
(508) 862-5650
(508) 778-4753
Mailing address
PO BOX 3238, BOSTON, MA 02241-3238
(866) 689-8862
(207) 347-7401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11148
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-07499
UNITED HEALTH CARE
RI
01
—
050483739
GREAT WEST HEALTH CARE
RI
01
—
111480
TUFTS HEALTH PLAN
RI
01
—
24180-3
BCBS OF RI
RI
01
—
28468
NEIGHBORHOOD HEALTH PLAN
RI
01
—
410404
BLUE CHIP
RI
01
—
5477977
HEALTH CARE VALUE MGMT
RI
01
—
696689
HARVARD HEALTH CARE
RI
01
—
709003710
MEDICARE GROUP
RI
05
—
9024180
—
RI
01
—
9622889001
CIGNA
RI
Enumeration date
09/29/2005
Last updated
01/31/2014
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