Individual
MALGORZATA MARIA TARAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
580 SAINT JOHNSBURY RD, NORTH COUNTRY INTERNAL MEDICINE, LITTLETON, NH 03561-3437
(603) 444-0116
(603) 444-2769
Mailing address
580 SAINT JOHNSBURY RD, NORTH COUNTRY INTERNAL MEDICINE, LITTLETON, NH 03561-3437
(603) 444-0116
(603) 444-2769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12633
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006088
—
VT
01
—
3279001
CIGNA HEALTHCARE
NH
01
—
48137
BLUE CROSS/BLUE SHIELD
VT
05
—
80300008
—
NH
Enumeration date
02/28/2006
Last updated
07/08/2007
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