Individual provider · Type 1 NPI

Jude I. Tardy, P.A.

Surgical Physician Assistant · Bangor, ME

NPI number 1508822586 Active

Practice location

417 State St, Suite 330
Bangor, ME 04401-6630

Fax (207) 973-8880

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA699 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1508822586

Jude I. Tardy, P.A.'s National Provider Identifier is 1508822586, issued on Apr 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bangor, ME. The record was last updated on Oct 18, 2017.