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Tara L Gustilo, MDMPH
Obstetrics & Gynecology Physician in Newport, Tennessee
NPI 1710913900

Tara L Gustilo is a Obstetrics & Gynecology Physician based in Newport, TN. Tara L Gustilo practices in Newport, TN and has the professional credentials of MDMPH. The NPI Number for Tara L Gustilo is 1710913900 and holds a License No. 35084663 (Tennessee).

The current practice location address for Tara L Gustilo is 434 4Th St Ste 305, Newport, TN and can be reached out via phone at 423-415-3330 and via fax at 423-613-1173.

Location: 434 4Th St Ste 305, Newport, TN, 37821-3735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710913900
Provider Name
Tara L Gustilo
Credential
MDMPH
Provider Entity Type
Individual
Gender
Female
Address
434 4Th St Ste 305, Newport, TN, 37821-3735
Phone Number
423-415-3330
Fax Number
423-613-1173
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2557782 05 OH
institution
Provider Business Practice Location Address Details
Address
434 4Th St Ste 305
City
Newport
State
Tennessee
Zip
37821-3735
Phone Number
423-415-3330
Fax Number
423-613-1173
person
Provider Business Mailing Address Details
Address
434 4Th St Ste 305
City
Newport
State
Tennessee
Zip
37821-3735
Phone Number
423-415-3330
Fax Number
423-613-1173
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
35084663 (Ohio)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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