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Tara Marie Frye, PA-C
Medical Physician Assistant in Newark, Delaware
NPI 1417575549

Tara Marie Frye is a Medical Physician Assistant based in Newark, DE and is specialized in Medical. Tara Marie Frye practices in Newark, DE and has the professional credentials of PA-C. The NPI Number for Tara Marie Frye is 1417575549 and holds a License No. C50011410 (Delaware).

The current practice location address for Tara Marie Frye is 78 Omega Dr Bldg C, Newark, DE and can be reached out via phone at 302-368-2883 and via fax at 302-368-2892.

Location: 78 Omega Dr Bldg C, Newark, DE, 19713-2064
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Provider Profile Details
NPI Number
1417575549
Provider Name
Tara Marie Frye
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
78 Omega Dr Bldg C, Newark, DE, 19713-2064
Phone Number
302-368-2883
Fax Number
302-368-2892
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C50011410 01 DE STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
78 Omega Dr Bldg C
City
State
Zip
19713-2064
Phone Number
302-368-2883
Fax Number
302-368-2892
person
Provider Business Mailing Address Details
Address
78 Omega Dr Bldg C
City
State
Zip
19713-2064
Phone Number
302-368-2883
Fax Number
302-368-2892
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C50011410 (Delaware)
Definition
Definition to come...
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