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Dr. Miriam Blodgett Tatum, MD
Pediatric Adolescent Medicine Physician in Derby Line, Vermont
NPI 1770682106

Miriam Blodgett Tatum is a Pediatric Adolescent Medicine Physician based in Derby Line, VT and is specialized in Adolescent Medicine. Miriam Blodgett Tatum practices in Derby Line, VT and has the professional credentials of MD. The NPI Number for Miriam Blodgett Tatum is 1770682106 and holds a License No. 042-0008370 (Vermont).

The current practice location address for Miriam Blodgett Tatum is 159 Main Street, Derby Line, VT and can be reached out via phone at 802-873-3009.

Location: 159 Main Street, Derby Line, VT, 05830-0970
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Provider Profile Details
NPI Number
1770682106
Provider Name
Miriam Blodgett Tatum
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
159 Main Street, Derby Line, VT, 05830-0970
Phone Number
802-873-3009
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042-0008370 01 VT STATE LICENSE NUMBER
0VN0264 05 VT
institution
Provider Business Practice Location Address Details
Address
159 Main Street
City
State
Zip
05830
Phone Number
802-873-3009
Fax Number
person
Provider Business Mailing Address Details
Address
159 Main Street
City
State
Zip
05830
Phone Number
802-873-3009
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
042-0008370 (Vermont)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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