Tam, Stanley K

Tam, Stanley K is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Tam, Stanley K can be contacted via phone (508) 334-3962.

Contact Information

Primary practice address
55 Lake Ave N Department Of Surgery Worcester MA 01655-0002
Phone: (508) 334-3962
Fax: (508) 334-7240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 55552 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 55552 Massachusetts
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 55552 Massachusetts

Profile Details

NPI number 1942291570
LBN Legal business name Tam, Stanley K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942291570 NPPES
Massachusetts MEDICAID 3083527

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