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Contact Information

TAISSER M ATRAK, MD
171 FAIRVIEW RD
MOORESVILLE, NC28117-9500
 Phone: 704-660-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TAISSER M ATRAK · (Male)

NPI # 1265470207
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 07/13/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC Medicaid 89137VM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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