Provider Demographics
NPI:1801093356
Name:TABE, JULIUS TANYI V (MD)
Entity type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:TANYI V
Last Name:TABE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8 HIAWATHA TRL
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-3320
Mailing Address - Country:US
Mailing Address - Phone:603-512-5659
Mailing Address - Fax:781-867-2040
Practice Address - Street 1:8 HIAWATHA TRL
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-3320
Practice Address - Country:US
Practice Address - Phone:240-425-2240
Practice Address - Fax:603-512-5659
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2025-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH14979207Q00000X
RIMD19638207Q00000X
MA242929207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30209703Medicaid
MA110086005Medicaid
NH1801093356OtherANTHEM BCBS
NH1801093356OtherTRICARE
MAPRV00188880OtherMASS GENERAL BRIGHAM