Individual
DR. TAREQ ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 830-2679
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101253669
VA
208M00000X
Hospitalist Physician
2018-00151
NC
208M00000X
Hospitalist Physician
Primary
291359
MA
208M00000X
Hospitalist Physician
TMD004814
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2009
Last updated
06/15/2022
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