Provider Demographics
NPI:1457376568
Name:TARABORELLI, STEVEN F (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:F
Last Name:TARABORELLI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:9 INDUSTRIAL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3735
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:117 WATER ST
Practice Address - Street 2:MCGRATH MEDICAL GROUP
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3001
Practice Address - Country:US
Practice Address - Phone:508-478-4500
Practice Address - Fax:508-478-5235
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA42732207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2060884Medicaid
E29039Medicare ID - Type Unspecified
MA2060884Medicaid