Provider Demographics
NPI:1841421286
Name:TARASI, PAUL GLENN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GLENN
Last Name:TARASI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4800 FRIENDSHIP AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1722
Mailing Address - Country:US
Mailing Address - Phone:412-578-5323
Mailing Address - Fax:412-605-6425
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-578-5323
Practice Address - Fax:412-605-6425
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2017-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD444699207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology