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Individual

DR. MARK ERNST TANTORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS014361
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OS014361
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002313101
PTAN
MA
01
243722NU9
PTAN
PA
Enumeration date
11/19/2008
Last updated
03/02/2026
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