Basic Information
| Provider Information | |||||||||
| NPI: | 1487760823 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | TAHAN | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | B. I. DEACONESS MED CTR | ||||||||
| Address2: | D-PATHOLOGY 330 BROOKLINE AVE. | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176674344 | ||||||||
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| Practice Location | |||||||||
| Address1: | BETH ISREAL DEACONESS MED. CTR | ||||||||
| Address2: | 330 BROOKLINE AVENUE | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176674344 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0101X | 48886 | MA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.