Provider Demographics
NPI:1801924048
Name:TARPINIAN FAMILY MEDICINE LLC
Entity type:Organization
Organization Name:TARPINIAN FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VAGHENAG
Authorized Official - Middle Name:V
Authorized Official - Last Name:TARPINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-424-0907
Mailing Address - Street 1:3922 SUNCREST LN
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-3486
Mailing Address - Country:US
Mailing Address - Phone:570-424-0907
Mailing Address - Fax:570-424-0616
Practice Address - Street 1:505 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-7916
Practice Address - Country:US
Practice Address - Phone:570-424-0907
Practice Address - Fax:570-424-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
087345Medicare ID - Type Unspecified