Individual
MR. MICHAEL HAYES TARADASH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 825-6300
Mailing address
71 MIDDLESEX AVE, SWAMPSCOTT, MA 01907-1961
(203) 249-5584
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA8257
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2020
Last updated
05/13/2024
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