Individual
TARA L ASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 S WASHINGTON ST, 3RD FLOOR SUITE C, GETTYSBURG, PA 17325-2500
(717) 339-3110
(717) 339-3108
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 339-3110
(717) 339-3108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA051248
PA
363AM0700X
Medical Physician Assistant
Primary
MA051248
PA
363AS0400X
Surgical Physician Assistant
MA051248
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019753370001
—
PA
01
—
1545319
GATEWAY-WMG
PA
01
—
2016748
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/31/2006
Last updated
03/17/2025
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