Michael Hayes Taradash Jr., PA-C
Physician Assistant, Medical in Salem, MA. Individual provider (NPI-1).
NPI number1164028734
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1164028734
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Hayes Taradash Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2020
- Certification date
- May 13, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA8257 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
81 Highland AveSalem, MA 01970-2714
Phone 978-825-6300
Mailing address
71 Middlesex AveSwampscott, MA 01907-1961
Phone 203-249-5584
Other practice locations
71 Middlesex Ave
Swampscott, MA 01907-1961
Swampscott, MA 01907-1961
Phone 203-249-5584
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