Individual
TAMMY W. LABONTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 FODEN RD, SUITE 3, SOUTH PORTLAND, ME 04106-1718
(207) 523-8500
(207) 523-8591
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD15130
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
668382
TUFTS
—
01
—
930111749
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
09/24/2020
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