Doctor Name: | DR. TARA ANNE SORAGHAN |
NPI Number: | 1558600098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 0350 |
Business Practice Address: | 8 Clover Ln Whitefield, NH - 035983343 |
Business Phone Number: | 6038379005 |
Business Fax Number: | 6037885072 |
Mailing Address: | 173 Middle St, LANCASTER |
State: | NH |
Postal Code: | 035843508 |
Phone Number: | 6037884911 |
Fax Number: | 6037885027 |
NPI Enumeration Date: | 02/04/2013 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 0350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |