Individual
DR. JOHN S TARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216-220 N. BROAD STREET, 2ND FLOOR, FEINSTEIN BUILDING, PHILADELPHIA, PA 19102
(215) 762-2663
(215) 762-4447
Mailing address
1500 MARKET ST, 24TH FLOOR-WEST TOWER, PHILADELPHIA, PA 19102-2100
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
MA054808
NJ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD045154E
PA
2085R0202X
Diagnostic Radiology Physician
MA054808
NJ
2085R0202X
Diagnostic Radiology Physician
MD045154E
PA
2086S0105X
Surgery of the Hand (Surgery) Physician
MA054808
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
MD045154E
PA
2251H1200X
Hand Physical Therapist
MA054808
NJ
2251H1200X
Hand Physical Therapist
MD045154E
PA
225XH1200X
Hand Occupational Therapist
MA054808
NJ
225XH1200X
Hand Occupational Therapist
MD045154E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407110000
INDEPENDENCE BLUE CROSS
PA
01
—
200023324
RAILROAD MEDICARE
—
01
—
585172
PENNSYLVANIA BLUE SHIELD
PA
Enumeration date
06/27/2006
Last updated
03/09/2016
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