Individual
SAMUEL ERIC TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
117 WATER ST STE 205, MILFORD, MA 01757-3036
(508) 902-9705
Mailing address
117 WATER ST STE 205, MILFORD, MA 01757-3036
(508) 902-9705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1019880
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
06/21/2024
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