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Tony Tataro

NPI 1558961359 · on the registry since 2020 · sole proprietor

Practice

Address
5700 Village Oaks Dr Apt 1222
San Jose, CA 95123
Phone
(669) 263-7194
Organisation at this address
Mdstx Med Spa Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California