Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIRIAM BLODGETT TATUM, M.D.
ActiveDR. MIRIAM BLODGETT TATUM, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in DERBY LINE, Vermont. NPI 1770682106 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · DERBY LINE, VT
Registration Details
- NPI Number
- 1770682106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2006 (19.867411275129 yrs)
- Last Updated
- Jul 8, 2007
- License
-
042-0008370 (VT)
Practice Information
- Address
-
159 MAIN STREETDERBY LINE, VT, 05830Browse VT providers · Browse ZIP 05830
- Phone
- 8028733009
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.