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Individual

MR. RONALD TASKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 W LIBERTY ST, WILLIAMSTON, NC 27892-1712
(252) 792-5151
(252) 792-0802
Mailing address
210 W LIBERTY ST, WILLIAMSTON, NC 27892-1712
(252) 792-5151
(252) 792-0802

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20075
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8981625
NC
01
A7189
MEDCOST
NC
Enumeration date
03/05/2007
Last updated
07/08/2007
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