Individual
TARA J HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 GOVERNORS AVE, DIABETES CLINIC-LAWRENCE MEMORIAL HOSPITAL, MEDFORD, MA 02155-1643
(781) 306-6370
(781) 306-6375
Mailing address
170 GOVERNORS AVE, DIABETES CLINIC-LAWRENCE MEMORIAL HOSPITAL, MEDFORD, MA 02155-1643
(781) 306-6370
(781) 306-6375
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
221829
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA92172
HARVARD PILGRIM
MA
01
—
J41861
BLUE CROSS
MA
Enumeration date
02/15/2007
Last updated
04/03/2013
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