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NPI Code Detail

MEDICARE: EMILIANO TATAR MD

MEDICARE:   EMILIANO  TATAR  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
1208000000XPediatrics PhysicianMD431851PA
2208D00000XGeneral Practice PhysicianMD431851PA

General Provider Information

NPI Number : 1144410390
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIANO TATAR MD
Provider Business Mailing Address
First Line : PO BOX 191
Second Line :
City : ROCKLAND
State : DE
Zip : 19732-0191
Country : US
Telephone Number : 302-651-4000
Fax Number : 302-651-4945
Provider Business Practice Location Address
First Line : 110 W LANCASTER AVE STE 200
Second Line :
City : WAYNE
State : PA
Zip : 19087-4061
Country : US
Telephone Number : 610-293-2229
Fax Number : 610-293-2231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 07/21/2022

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Directions to “ EMILIANO TATAR MD” Practice Location

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