MEDICARE: DR. JOHN M TARRO 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
1	174400000X	Specialist	MD09528	RI
2	207Y00000X	Otolaryngology Physician	MD09528	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942294749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN M TARRO MD

Provider Business Mailing Address
First Line	:	148 W RIVER ST
Second Line	:	SUITE 2A
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-2615
Country	:	US
Telephone Number	:	401-728-0140
Fax Number	:	401-727-1979

Provider Business Practice Location Address
First Line	:	148 W RIVER ST
Second Line	:	SUITE 2A
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-2615
Country	:	US
Telephone Number	:	401-728-0140
Fax Number	:	401-727-1979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	04/21/2025

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