Individual
DR. GREGORY JOHN TARASOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 S EL CAMINO REAL, SAN MATEO, CA 94403-2380
(650) 373-0777
Mailing address
2600 S EL CAMINO REAL STE 100, SAN MATEO, CA 94403-2381
(650) 373-0777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A60464
CA
Other
Enumeration date
05/27/2008
Last updated
10/01/2019
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