Organization
EDWARD A. TASHJIAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SCHARTIGER (OPERATIONS MANAGER)
(248) 332-0296
Entity
Organization
Contact information
Practice address
43700 WOODWARD AVE, SUITE 201, BLOOMFIELD HILLS, MI 48302-5058
(248) 332-0296
(248) 332-3466
Mailing address
43700 WOODWARD AVE, SUITE 201, BLOOMFIELD HILLS, MI 48302-5058
(248) 332-0296
(248) 332-3466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ET046315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632155
MEDICARE PTAN
MI
05
—
1647283
—
MI
Enumeration date
07/10/2012
Last updated
07/10/2012
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