Ethan A Tarasov, MD
Radiology, Diagnostic Radiology in Hamilton, New Jersey
1760488068- Practice location
- 2501 Kuser RD, Hamilton, NJ 08691-3302
- Phone
- 609-585-8800
- Fax
- 609-585-1825
- Last updated
- August 24, 2012
Ethan A Tarasov is a Radiology, Diagnostic Radiology based in Hamilton, NJ. Ethan A Tarasov practices in Hamilton, NJ and has the professional credentials of MD. The NPI Number for Ethan A Tarasov is 1760488068 and holds a License No. MA04785400 (NJ). The current practice location address for Ethan A Tarasov is 2501 Kuser RD, Hamilton, NJ 08691-3302 and can be reached out via phone at 609-585-8800 and via fax at 609-585-1825.
Provider Profile Details
- NPI Number
- 1760488068
- Provider Name
- Ethan A Tarasov
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2501 Kuser RD, Hamilton, NJ 08691-3302
- Phone Number
- 609-585-8800
- Fax Number
- 609-585-1825
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2005
- Last Update Date
- August 24, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2501 Kuser RD
Hamilton, NJ 08691-3302 - City
- Hamilton
- State
- New Jersey
- Zip
- 08691-3302
- Phone Number
- 609-585-8800
- Fax Number
- 609-585-1825
Provider Business Mailing Address Details
- Address
- 3625 Quakerbridge RD
Hamilton, NJ 08619-1207 - City
- Hamilton
- State
- NJ
- Zip
- 08619-1207
- Phone Number
- 609-689-1600
- Fax Number
- 609-689-1200
License Information
- License Number (1)
- MA04785400
- License State (1)
- NJ
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
- License Number (2)
- MD035415-E
- License State (2)
- PA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ethan A Tarasov, MD?
The NPI number of Ethan A Tarasov, MD is 1760488068. It was assigned on June 22, 2005 and is currently active in the NPPES registry.
What is the specialty of Ethan A Tarasov, MD?
Ethan A Tarasov, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number MA04785400.
Where does Ethan A Tarasov, MD practice?
The practice location is 2501 Kuser RD, Hamilton, NJ 08691-3302. The office can be reached at 609-585-8800 (phone) or 609-585-1825 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760488068 directly on the NPPES registry website.