Taraskevich, David Mark

Taraskevich, David Mark is an sole proprietor health care provider with primary practice located at 237 Liberty St , Meriden CT 06450-4407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Taraskevich, David Mark can be contacted via phone (203) 237-2200.

Contact Information

Primary practice address
237 Liberty St Meriden CT 06450-4407
Phone: (203) 237-2200
Fax: (203) 630-0655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 023754 Connecticut
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 023754 Connecticut

Profile Details

NPI number 1144331521
LBN Legal business name Taraskevich, David Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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