MEDICARE: DR. FRANK TARANTINI 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
1	2086S0129X	Vascular Surgery Physician	224723	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1679550578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK TARANTINI MD

Provider Business Mailing Address
First Line	:	PO BOX 416173
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6173
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	1050 GALLOPING HILL RD STE 102
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7980
Country	:	US
Telephone Number	:	908-686-1350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	06/13/2025

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