Individual
TARA MANTEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12 HEMLOCK HILL RD, ORCHARD PARK, NY 14127-3964
(716) 574-9540
Mailing address
12 HEMLOCK HILL RD, ORCHARD PARK, NY 14127-3964
(716) 574-9540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
249460-1
NY
207P00000X
Emergency Medicine Physician
OT011194
PA
Other
Enumeration date
05/13/2008
Last updated
08/06/2008
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