Individual
JOHN BATTISTA TAGGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 ROUTE 146, CLIFTON PARK, NY 12065-3885
(518) 525-8220
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
224560-1
NY
208600000X
Surgery Physician
Primary
224560-1
NY
2086S0129X
Vascular Surgery Physician
224560-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
224560-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2563055
—
NY
Enumeration date
10/17/2005
Last updated
05/21/2021
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