Individual
DR. JASON TANIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
Mailing address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
308126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06474368
—
NY
Enumeration date
03/19/2013
Last updated
09/16/2025
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