Organization
BONNIE TATAR
Active
Other names
Tatar Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE S TATAR DPM (OWNER)
(412) 361-3668
Entity
Organization
Contact information
Practice address
5701 CENTRE AVE STE L1, PITTSBURGH, PA 15206-3744
(412) 361-3668
(412) 361-4207
Mailing address
5701 CENTRE AVE STE L1, PITTSBURGH, PA 15206-3744
(412) 361-3668
(412) 361-4207
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003424-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275983
—
PA
Enumeration date
11/29/2007
Last updated
12/22/2010
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