Individual
DR. ROBERT P TARDIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
330 SABATTUS STREET, LEWISTON, ME 04240
(207) 777-4300
(207) 755-3021
Mailing address
33 HILLVIEW LN, LEWISTON, ME 04240-1705
(207) 754-1887
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1308
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265590099
—
ME
01
—
MM491901
MEDICARE PTAN
ME
Enumeration date
07/10/2006
Last updated
11/30/2020
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