| NPI | 1073910923 |
|---|---|
| Former Name | TONY TANAGHO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD461253) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD461253) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2024-01-24 |