Individual
HECTOR M TARRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 CAMPUS DR., SCARBOROUGH, ME 04074
(207) 883-0069
Mailing address
39 WALLACE AVE, SO. PORTLAND, ME 04106
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
012399
ME
207VX0201X
Gynecologic Oncology Physician
Primary
012399
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002239
—
NH
05
—
32965009
—
ME
Enumeration date
10/17/2006
Last updated
12/01/2014
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