Individual
TARA GORMLEY-HARKINS HADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
887 CONGRESS ST STE 400, PORTLAND, ME 04102-3163
(207) 662-5555
Mailing address
887 CONGRESS ST STE 300, PORTLAND, ME 04102-3103
(207) 662-5555
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1927
ME
Other
Enumeration date
05/28/2016
Last updated
11/09/2023
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