Individual
DR. STACY ROBIN TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
238 WAREHAM RD, MARION, MA 02738-1166
(508) 748-6633
(508) 748-6649
Mailing address
PO BOX 148, MARION, MA 02738-0003
(508) 748-6633
(508) 748-6649
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265506463
BMC HEALTHNET
MA
05
—
1614142
—
MA
01
—
711883
UNITED HEALTHCARE
MA
01
—
7198894
AETNA
MA
01
—
AA96361
HARVARD PILGRAM
MA
01
—
Y37172
BCBS
MA
Enumeration date
11/20/2006
Last updated
03/13/2014
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