Provider Demographics
NPI:1669273090
Name:PARE, TYLER (PA)
Entity type:Individual
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First Name:TYLER
Middle Name:
Last Name:PARE
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Gender:
Credentials:PA
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:CHARLTON MEMORIAL HOSPITAL
Mailing Address - Street 2:363 HIGHLAND AVE
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720
Mailing Address - Country:US
Mailing Address - Phone:508-973-7041
Mailing Address - Fax:508-973-7065
Practice Address - Street 1:CHARLTON MEMORIAL HOSPITAL
Practice Address - Street 2:363 HIGHLAND AVE
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-973-7041
Practice Address - Fax:508-973-7065
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant