Individual provider · Type 1 NPI
Michael Hayes Taradash Jr., PA-C
Medical Physician Assistant · Salem, MA
NPI number
1164028734
Active
Practice location
81 Highland Ave
Salem, MA 01970-2714
Mailing address
71 Middlesex Ave
Swampscott, MA 01907-1961
Other practice locations
- 71 Middlesex Ave, Swampscott, MA 01907-1961 · (203) 249-5584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PA8257 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1164028734
Michael Hayes Taradash Jr., PA-C's National Provider Identifier is 1164028734, issued on Dec 9, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salem, MA. The record was last updated on May 13, 2024.