Individual
NINA MITHI TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1720 E BROAD ST, HAZLETON, PA 18201-5622
(570) 455-3391
(570) 455-9150
Mailing address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(570) 288-7405
(570) 288-7406
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD047373L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432771
—
PA
Enumeration date
03/20/2006
Last updated
05/20/2008
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