person
Mr. Jude I Tardy, PA
Surgical Physician Assistant in Bangor, Maine
NPI 1508822586

Jude I Tardy is a Surgical Physician Assistant based in Brewer, ME and is specialized in Surgical. Jude I Tardy practices in Bangor, ME and has the professional credentials of PA. The NPI Number for Jude I Tardy is 1508822586 and holds a License No. PA699 (Maine).

The current practice location address for Jude I Tardy is 417 State St, Bangor, ME and can be reached out via phone at 207-973-8881 and via fax at 207-973-8880.

Location: 417 State St, Bangor, ME, 04412-1006
person
Provider Profile Details
NPI Number
1508822586
Provider Name
Jude I Tardy
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
417 State St, Bangor, ME, 04412-1006
Phone Number
207-973-8881
Fax Number
207-973-8880
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
266110099 05 ME
institution
Provider Business Practice Location Address Details
Address
417 State St
City
State
Zip
04401-6630
Phone Number
207-973-8881
Fax Number
207-973-8880
person
Provider Business Mailing Address Details
Address
417 State St
City
State
Zip
04401-6630
Phone Number
207-973-8881
Fax Number
207-973-8880
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA699 (Maine)
Definition
Definition to come...
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