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NPI Code Detail

MEDICARE: MR. CHAD IAN TARTER MD

MEDICARE: MR. CHAD IAN TARTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA92148CA

General Provider Information

NPI Number : 1225012982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAD IAN TARTER MD
Provider Business Mailing Address
First Line : NORTHBAY NEONATOLOGY ASSOCIATES, INC
Second Line : 1860 PENNSYLVANIA AVE, STE 145
City : FAIRFIELD
State : CA
Zip : 94533-3547
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 B GALE WILSON BLVD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-3552
Country : US
Telephone Number : 707-646-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 11/20/2025

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Directions to “ MR. CHAD IAN TARTER MD” Practice Location

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