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NPI Code Detail

MEDICARE: DR. HILDANIA TAVERAS

MEDICARE:  DR. HILDANIA  TAVERAS
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
1183500000XPharmacist28RI03474600NJ

General Provider Information

NPI Number : 1770852832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HILDANIA TAVERAS
Provider Business Mailing Address
First Line : 84 MARKET ST
Second Line :
City : PERTH AMBOY
State : NJ
Zip : 08861-4410
Country : US
Telephone Number : 848-466-2070
Fax Number :
Provider Business Practice Location Address
First Line : 2395 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-1909
Country : US
Telephone Number : 201-333-4092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2011
Last Update Date : 12/19/2011

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Directions to “ DR. HILDANIA TAVERAS ” Practice Location

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