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NPI Code Detail

MEDICARE: DR. ALEKSANDAR TANCEVSKI MD

MEDICARE: DR. ALEKSANDAR TANCEVSKI 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
1207X00000XOrthopaedic Surgery PhysicianAPP SUBMITTED 7/08OH
2207X00000XOrthopaedic Surgery PhysicianME114829FL

Other Identifiers

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

General Provider Information

NPI Number : 1194974824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEKSANDAR TANCEVSKI MD
Provider Business Mailing Address
First Line : 2750 NEWARK GRANVILLE RD
Second Line :
City : GRANVILLE
State : OH
Zip : 43023-9142
Country : US
Telephone Number : 740-788-9220
Fax Number : 740-522-8070
Provider Business Practice Location Address
First Line : 2750 NEWARK GRANVILLE RD
Second Line :
City : GRANVILLE
State : OH
Zip : 43023-9142
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-558-6186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2008
Last Update Date : 04/20/2022

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