IndividualActive
Jude Tardy, P.A.
NPI 1508822586 · Surgical Physician Assistant · Bangor, ME
Provider details
- NPI number
- 1508822586
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- PA699 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
417 State St
Suite 330
Bangor, ME 04401-6630
Phone: (207) 973-8881
Fax: (207) 973-8880
Approximate (ZIP-level) locationGet directions
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2017-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.