Provider Demographics
NPI:1447421706
Name:TADROS, MAHER N (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHER
Middle Name:N
Last Name:TADROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2355
Mailing Address - Country:US
Mailing Address - Phone:781-729-2471
Mailing Address - Fax:781-729-2471
Practice Address - Street 1:20 DARTMOUTH ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2355
Practice Address - Country:US
Practice Address - Phone:781-729-2471
Practice Address - Fax:781-729-2471
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33581174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist