Individual
DR. TARA M MASTRACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, VASCULAR SURGERY S40, CLEVELAND CLINIC FOUNDATION, CLEVELAND, OH 44195-0001
(216) 445-1338
Mailing address
48 HASKELL DR, BRATENAHL, OH 44108-1169
(216) 445-1338
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
57.014091
OH
Other
Enumeration date
05/01/2008
Last updated
03/09/2009
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