Tara Kay Pelletier in South Portland - Family Medicine
Tara Kay Pelletier - NPI 1124016118
Tara Kay Pelletier is a Family Medicine in South Portland, Maine. Tara Kay Pelletier practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tara Kay Pelletier is 1124016118. The last update date is 2011-02-22.
Tara Kay Pelletier's current location address is 100 Foden Road East, South Portland, Maine. You can contact this provider via phone number 2078741489 and fax number 2075238590. The mailing address for Tara Kay Pelletier is 100 Foden Road East, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Kay Pelletier |
|---|---|
| Address | 100 Foden Road East, South Portland, Maine |
| Phone Number | 2078741489 |
| Fax Number | 2075238590 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1124016118 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2011-02-22 |
Provider Mailing Address Detail
| Address | 100 Foden Road East |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 4106 |
| Phone Number | 2078741489 |
| Fax Number | 2075238590 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 224963 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identifier code issued to Tara Kay Pelletier by the Centers for Medicare & Medicaid Services (CMS)?
The Tara Kay Pelletier has been assigned the NPI (National Provider Identifier) 1124016118. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Tara Kay Pelletier located?
The Tara Kay Pelletier is located at 100 Foden Road East, South Portland, ME 4106.
What is the Tara Kay Pelletier's specialty and taxonomy code?
The Tara Kay Pelletier's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1124016118 assigned to Tara Kay Pelletier?
The Tara Kay Pelletier was issued its 1124016118 on 2005-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tara Kay Pelletier, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tara Kay Pelletier, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-02-22.