Maraposa Surgical Inc.

NPI #1508014697 in Bradford, Pennsylvania

Provider Information

NPI Number: 1508014697
Entity Type: Organization
Organization Name: Maraposa Surgical Inc.
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Sep 3, 2008
Last Updated: Mar 23, 2016

Practice Location

Address: 900 CHESTNUT STREET EXT
Address 2: STE A
City: Bradford
State: Pennsylvania
ZIP Code: 16701-2298
Phone: (814) 368-8490

Authorized Official

Name: DR. ROBERT WAYNE TAHARA, M.D.
Title: PRESIDENT
Phone: (814) 368-8490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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