Individual
TARIKA THAREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 WOODBINE LN, DANVILLE, PA 17822
(570) 271-6534
(570) 271-7146
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD464408
PA
207W00000X
Ophthalmology Physician
PENDING
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
08/30/2020
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