Individual
DR. DMITRY TARASEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
454 OLD STREET ROAD, SUITE 301, PETERBOROUGH, NH 03458-1263
(603) 924-4680
(603) 924-4977
Mailing address
454 OLD STREET ROAD, SUITE 301, PETERBOROUGH, NH 03458-1263
(603) 924-4680
(603) 924-4977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15050
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002051101
MEDICARE PTAN
NH
05
—
32000229
—
NH
Enumeration date
11/28/2007
Last updated
03/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us