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NPI Code Detail

MEDICARE: DR. DAVID TARGAN DO

MEDICARE: DR. DAVID TARGAN DO
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
1207R00000XInternal Medicine PhysicianOS010918LPA

General Provider Information

NPI Number : 1124035431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID TARGAN DO
Provider Business Mailing Address
First Line : 100 E LANCASTER AVE STE 353
Second Line :
City : WYNNEWOOD
State : PA
Zip : 19096-3433
Country : US
Telephone Number : 267-788-1806
Fax Number : 215-318-0550
Provider Business Practice Location Address
First Line : 100 E LANCASTER AVE STE 353
Second Line :
City : WYNNEWOOD
State : PA
Zip : 19096-3433
Country : US
Telephone Number : 267-788-1806
Fax Number : 215-318-0550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 04/02/2021

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Directions to “ DR. DAVID TARGAN DO” Practice Location

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