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Maraposa Surgical INC.

in Bradford, PA. Organization (NPI-2).

NPI number1508014697
StatusActive
Last updated in NPPESMar 23, 2016

Details

NPI
1508014697
Entity type
Organization (NPI-2)
Legal business name
Maraposa Surgical INC.
Organization subpart
No
Enumeration date
Sep 3, 2008
Last updated
Mar 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X MD419351PAYes
208600000X SurgeryMD419351PA

Practice location

900 Chestnut Street Ext
Ste A
Bradford, PA 16701-2298

Phone 814-368-8490 · Fax 814-368-8041

Mailing address

900 Chestnut Street Ext
Ste A
Bradford, PA 16701-2298

Phone 814-368-8490 · Fax 814-368-8041

Authorized official

Robert Wayne Tahara
President
8143688490

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