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NPI Code Detail

MEDICARE: JASA SUZANNE TALARICO M.D.

MEDICARE:   JASA SUZANNE TALARICO  M.D.
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 Physician35.128868OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255771390
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASA SUZANNE TALARICO M.D.
Provider Business Mailing Address
First Line : PO BOX 933432
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-3000
Fax Number :
Provider Business Practice Location Address
First Line : 1010 VALLEY ST
Second Line :
City : DAYTON
State : OH
Zip : 45404-2070
Country : US
Telephone Number : 937-641-4000
Fax Number : 937-641-4500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2013
Last Update Date : 03/03/2026

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Directions to “ JASA SUZANNE TALARICO M.D.” Practice Location

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