Individual
PAUL A TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CEDAR ST, OFFICE OF THE DEAN, NEW HAVEN, CT 06510-3206
(203) 485-5790
Mailing address
333 CEDAR ST, P.O. BOX 208055, NEW HAVEN, CT 06510-3206
(203) 485-5790
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301064199
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3061304
—
MI
Enumeration date
09/27/2006
Last updated
02/19/2013
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