Individual
TARA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
3553 WHIPPLE RD, UNION CITY, CA 94587-1507
(510) 675-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
274131
MA
Other
Enumeration date
06/16/2014
Last updated
12/17/2021
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