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NPI Code Detail

MEDICARE: JASON TARTAGLIONE M.D.

MEDICARE: JASON TARTAGLIONE 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
1390200000XStudent in an Organized Health Care Education/Training Program63264
2207XX0004XOrthopaedic Foot and Ankle Surgery PhysicianMD16123RI

General Provider Information

NPI Number : 1386900165
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON TARTAGLIONE M.D.
Provider Business Mailing Address
First Line : 120 CENTERVILLE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-4336
Country : US
Telephone Number : 401-738-3730
Fax Number : 401-738-3777
Provider Business Practice Location Address
First Line : 120 CENTERVILLE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-4336
Country : US
Telephone Number : 401-738-3730
Fax Number : 401-738-3777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2012
Last Update Date : 06/01/2026

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