Individual
DR. GABRIEL THEODORE TATARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1015 CHESTNUT ST STE 918, PHILADELPHIA, PA 19107
(215) 922-1801
(215) 922-1806
Mailing address
1015 CHESTNUT ST STE 918, PHILADELPHIA, PA 19107-4309
(215) 922-1801
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS-008458-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465075
—
PA
Enumeration date
04/17/2006
Last updated
03/13/2019
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