Organization
NEW HEALTH P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL DENNIS TARDY PT (OWNER/DIRECTOR)
(207) 478-6506
Entity
Organization
Contact information
Practice address
40 CHAPMAN ST, BREWER, ME 04412-1810
(207) 478-6506
(978) 225-2251
Mailing address
40 CHAPMAN ST, BREWER, ME 04412-1810
(207) 478-6506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048932
ANTHEM
ME
01
—
1393159
AETNA
—
05
—
260240000
—
ME
01
—
3662706
CIGNA
—
Enumeration date
07/17/2007
Last updated
07/21/2022
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