MEDICARE: KARINA TASCON

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	164W00000X	Licensed Practical Nurse	26NP49678900	NJ

General Provider Information

NPI Number	:	1891554507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA TASCON

Provider Business Mailing Address
First Line	:	755 LINDEN AVE
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07202-1610
Country	:	US
Telephone Number	:	908-858-0131
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 LAFAYETTE ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07105-2125
Country	:	US
Telephone Number	:	973-789-8111
Fax Number	:

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

Provider Enumeration Date	:	03/15/2024
Last Update Date	:	03/15/2024

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Directions to “ KARINA TASCON ” Practice Location

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