Individual
ALEXANDRA T. TARABOCHIA-GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1983 SLOAN PL STE 1, SAINT PAUL, MN 55117-2095
(651) 326-5700
Mailing address
1983 SLOAN PL STE 1, SAINT PAUL, MN 55117-2095
(651) 326-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
282532
MA
207Q00000X
Family Medicine Physician
Primary
73947
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110127140A
—
MA
05
—
3125582
—
NH
Enumeration date
03/28/2017
Last updated
05/04/2023
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