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NPI Code Detail

MEDICARE: MALGORZATA MARIA TARAS M.D.

MEDICARE:   MALGORZATA MARIA TARAS  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
1207R00000XInternal Medicine Physician12633NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
148137OTHERVTBLUE CROSS/BLUE SHIELD
23279001OTHERNHCIGNA HEALTHCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962478909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALGORZATA MARIA TARAS M.D.
Provider Business Mailing Address
First Line : 580 SAINT JOHNSBURY RD
Second Line : NORTH COUNTRY INTERNAL MEDICINE
City : LITTLETON
State : NH
Zip : 03561-3437
Country : US
Telephone Number : 603-444-0116
Fax Number : 603-444-2769
Provider Business Practice Location Address
First Line : 580 SAINT JOHNSBURY RD
Second Line : NORTH COUNTRY INTERNAL MEDICINE
City : LITTLETON
State : NH
Zip : 03561-3437
Country : US
Telephone Number : 603-444-0116
Fax Number : 603-444-2769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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Directions to “ MALGORZATA MARIA TARAS M.D.” Practice Location

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