Individual
ELIZABETH TAMMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-0500
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17538
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017736
STATE LICENSE
MA
Enumeration date
05/10/2018
Last updated
08/22/2024
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