Individual
JOSEPH F. TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
(814) 288-4498
(814) 288-5427
Mailing address
322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
(814) 288-4498
(814) 288-5427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD032484E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1147517-05
—
PA
Enumeration date
11/21/2006
Last updated
10/24/2013
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