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NPI Code Detail

MEDICARE: TOSHAR TANEJA DMD

MEDICARE:   TOSHAR  TANEJA  DMD
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
1122300000XDentistDN1855763MA

General Provider Information

NPI Number : 1730477803
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOSHAR TANEJA DMD
Provider Business Mailing Address
First Line : 90A LAFAYETTE ST
Second Line :
City : SALEM
State : MA
Zip : 01970-3625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 90A LAFAYETTE ST
Second Line :
City : SALEM
State : MA
Zip : 01970-3625
Country : US
Telephone Number : 978-745-0055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2011
Last Update Date : 07/11/2011

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Directions to “ TOSHAR TANEJA DMD” Practice Location

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