Individual
DR. BEN TACHERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6503 DEER POINTE DR STE A, SALISBURY, MD 21804-1674
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(668) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0035409
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
47720
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D35409
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47720
STATE MEDICAL LICENSE
AZ
05
—
884589
—
AZ
01
—
DR.0050597
STATE MEDICAL LICENSE
CO
Enumeration date
11/14/2005
Last updated
03/20/2023
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