Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | MA054808 | NJ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD045154E | PA |
N | 2086S0105X | Surgery of the Hand | MA054808 | NJ |
N | 2086S0105X | Surgery of the Hand | MD045154E | PA |
N | 2251H1200X | Hand | MA054808 | NJ |
N | 2251H1200X | Hand | MD045154E | PA |
N | 225XH1200X | Occupational Therapist - Hand | MA054808 | NJ |
N | 225XH1200X | Occupational Therapist - Hand | MD045154E | PA |
NPI | 1720015308 |
---|---|
Provider Name | Dr. John S Taras |
First Address | Philadelphia, PA 19102-2100 |
Second Address | Philadelphia, PA 19102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 09/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0407110000 | INDEPENDENCE BLUE CROSS (01) | PA |
200023324 | RAILROAD MEDICARE (01) | |
585172 | PENNSYLVANIA BLUE SHIELD (01) | PA |
F03824 | (02) |