Ethan A Tarasov in Hamilton - Diagnostic Radiology
Ethan A Tarasov - NPI 1760488068
Ethan A Tarasov is a Diagnostic Radiology in Hamilton, New Jersey. Ethan A Tarasov practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ethan A Tarasov is 1760488068. The last update date is 2012-08-24.
Ethan A Tarasov's current location address is 3625 Quakerbridge Rd, Hamilton, New Jersey. You can contact this provider via phone number 6096891600 and fax number 6096891200. The mailing address for Ethan A Tarasov is 3625 Quakerbridge Rd, Hamilton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan A Tarasov |
|---|---|
| Address | 3625 Quakerbridge Rd, Hamilton, New Jersey |
| Phone Number | 6096891600 |
| Fax Number | 6096891200 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760488068 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2012-08-24 |
Provider Mailing Address Detail
| Address | 3625 Quakerbridge Rd |
|---|---|
| City | Hamilton |
| State | New Jersey (NJ) |
| Post Code | 86191207 |
| Phone Number | 6096891600 |
| Fax Number | 6096891200 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MA04785400 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7345607 | NJ | -- | |
| 1536103 | PA | -- |
Post Comment/ Review Below
What is the Ethan A Tarasov's 1760488068?
The Ethan A Tarasov's NPI (National Provider Identifier) Number is 1760488068. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ethan A Tarasov is physically located?
The Ethan A Tarasov is situated at the following address: 3625 Quakerbridge Rd, Hamilton, NJ 86191207.
What is Ethan A Tarasov's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ethan A Tarasov is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760488068 to Ethan A Tarasov?
The Ethan A Tarasov received its 1760488068 assignment from the Centers for Medicare & Medicaid Services on 2005-06-22.
As of what date were the Ethan A Tarasov's details last updated?
The information pertaining to the Ethan A Tarasov, including its address, specialty, and other details, was most recently updated on 2012-08-24.