Individual
DR. DAVID MARK TARASKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
237 LIBERTY ST, MERIDEN, CT 06450-4407
(203) 237-2200
(203) 630-0655
Mailing address
237 LIBERTY ST, MERIDEN, CT 06450-4407
(203) 237-2200
(203) 630-0655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023754
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
023754
CT
Other
Enumeration date
08/31/2006
Last updated
01/22/2008
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