Individual
DR. RAYMOND TARDIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 STETSON RD, AUBURN, ME 04210-7813
(207) 784-7388
(207) 795-2043
Mailing address
190 STETSON RD, AUBURN, ME 04210-7813
(207) 784-7388
(207) 795-2043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014503
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259940099
—
ME
Enumeration date
10/04/2005
Last updated
01/07/2010
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