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Individual

JORJETA D TAHTAWI

Active
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Individual

JORJETA D TAHTAWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200801391
NC
207R00000X
Internal Medicine Physician
216192
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18317
BCBSNC
NC
01
696898
HARVARD PILGRIM
MA
01
J26039
BLUE CROSS
MA
01
P01320169
MEDICARE RR
NC
Enumeration date
04/05/2006
Last updated
12/06/2016
Update your record

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