Individual
ELENA G TARATUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104-2604
(215) 662-4710
Mailing address
3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104-2406
(215) 662-4710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD060668L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001603529002
—
PA
Enumeration date
06/17/2006
Last updated
08/25/2015
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