Individual
ETHAN A TARASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 KUSER RD, HAMILTON, NJ 08691-3302
(609) 585-8800
(609) 585-1825
Mailing address
3625 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1207
(609) 689-1600
(609) 689-1200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA04785400
NJ
2085R0202X
Diagnostic Radiology Physician
MD035415-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01536103
—
PA
05
—
7345607
—
NJ
Enumeration date
06/22/2005
Last updated
08/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us