Tai Temple, MD
Internal Medicine in Southbridge, Massachusetts
1114971694- Practice location
- 100 South St, Southbridge, MA 01550-4051
- Phone
- 508-765-9771
- Fax
- 508-909-7735
- Last updated
- May 2, 2024
Tai Temple is an Internal Medicine based in Southbridge, MA. Tai Temple practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Tai Temple is 1114971694 and holds a License No. 238229 (MA). The current practice location address for Tai Temple is 100 South St, Southbridge, MA 01550-4051 and can be reached out via phone at 508-765-9771 and via fax at 508-909-7735.
Provider Profile Details
- NPI Number
- 1114971694
- Provider Name
- Tai Temple
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 South St, Southbridge, MA 01550-4051
- Phone Number
- 508-765-9771
- Fax Number
- 508-909-7735
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 20, 2006
- Last Update Date
- May 2, 2024
- Certification Date
- May 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 South St
Southbridge, MA 01550-4051 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-4051
- Phone Number
- 508-765-9771
- Fax Number
- 508-909-7735
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number
- 238229
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tai Temple, MD?
The NPI number of Tai Temple, MD is 1114971694. It was assigned on May 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Tai Temple, MD?
Tai Temple, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 238229.
Where does Tai Temple, MD practice?
The practice location is 100 South St, Southbridge, MA 01550-4051. The office can be reached at 508-765-9771 (phone) or 508-909-7735 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114971694 directly on the NPPES registry website.