Organization
GABRIEL T TATARIAN, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN A MORGAN (OFFICE MANAGER)
(215) 922-1801
Entity
Organization
Contact information
Practice address
1015 CHESTNUT ST STE 918, PHILADELPHIA, PA 19107
(215) 922-1801
Mailing address
1015 CHESTNUT ST STE 918, PHILADELPHIA, PA 19107-4309
(215) 922-1801
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS008458L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465075
—
PA
Enumeration date
11/21/2006
Last updated
03/13/2019
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