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NPI Code Detail

MEDICARE: DR. BEN TACHERON MD

MEDICARE: DR. BEN TACHERON 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
1207L00000XAnesthesiology PhysicianD0035409MD
2207LP2900XPain Medicine (Anesthesiology) Physician47720AZ
3207LP2900XPain Medicine (Anesthesiology) PhysicianD35409MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
147720OTHERAZSTATE MEDICAL LICENSE
2DR.0050597OTHERCOSTATE MEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154303493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEN TACHERON MD
Provider Business Mailing Address
First Line : 201 DEFENSE HWY STE 205
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7096
Country : US
Telephone Number : 855-527-7246
Fax Number : 668-229-5063
Provider Business Practice Location Address
First Line : 6503 DEER POINTE DR STE A
Second Line :
City : SALISBURY
State : MD
Zip : 21804-1674
Country : US
Telephone Number : 855-527-7246
Fax Number : 866-229-5063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 03/20/2023

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Directions to “ DR. BEN TACHERON MD” Practice Location

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