Provider Demographics
NPI:1922104884
Name:TARKAN, JOSHUA LAURENCE (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:LAURENCE
Last Name:TARKAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:260 MERRIMAC ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2192
Mailing Address - Country:US
Mailing Address - Phone:978-499-7400
Mailing Address - Fax:978-499-7326
Practice Address - Street 1:260 MERRIMAC ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2192
Practice Address - Country:US
Practice Address - Phone:978-499-7400
Practice Address - Fax:978-499-7326
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2016-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA220460207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA89-01537OtherEVERCARE
MAP00423457OtherRR MEDICARE
MA1504440OtherCIGNA
MA1922104884OtherAETNA
MA1922104884OtherFALLON COMMUNITY HEALTH PLAN
MA7796604OtherAETNA NON HMO
MAAA90052OtherHARVARD PILGRIM HEALTHCAR
MA0041051OtherNEIGHBORHOOD HEALTH PLAN
NH30206633OtherNH MEDICAID
MA967291-02OtherNETWORK HEALTH PLAN
MA110037949AMedicaid
MA469461OtherTUFTS HEALTH PLAN
MAJ28466OtherBLUE CROSS OF MASS.
MA110037949AMedicaid
MAA3708001Medicare PIN