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General NPI Number Information
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NPI Number | 1528228194
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Entity Type | Organization
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Legal Business Name | JOSEPH JOHN TARTAGLIA, M.D.,P.C.
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 311 NORTH ST SUITE 402
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2217
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Country | US
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Telephone | 914-946-3388
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Fax | 914-946-5940
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Provider Business Mailing Address
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Address Line | 311 NORTH ST SUITE 402
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2217
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Country | US
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Telephone | 914-946-3388
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Fax | 914-946-5940
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH JOHN TARTAGLIA
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Credential | M.D.
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Telephone | 914-946-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 038971
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 173101
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 038971
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 173101
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License Number State | NY
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