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Individual

DR. DEBRA R TARANTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
231 MILLBURN AVENUE, MILLBURN, NJ 07041-1718
(973) 467-2277
(973) 467-1317
Mailing address
231 MILLBURN AVENUE, MILLBURN, NJ 07041-1718
(973) 467-2277
(973) 467-1317

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA07109700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0489140
AETNA GROUP #
NJ
01
0X00NJ4000
HEALTHNET GROUP #
NJ
01
2621451
AETNA INDIVIDUAL #
NJ
01
D09142-SCE402
OXFORD GROUP #
NJ
01
J15550
HEALTHNET INDIVIDUAL #
NJ
01
P2172646
OXFORD INDIVIDUAL #
NJ
Enumeration date
11/28/2006
Last updated
07/09/2007
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