Individual
DR. JUDY K TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, DEPARTMENT OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Mailing address
113 TERRACE DR, WILLISTON, VT 05495-2135
(802) 879-3468
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
042-0009170
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1225
—
VT
Enumeration date
07/16/2006
Last updated
07/08/2007
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