| Zachary L Tataryn, MD | |
|
736 Cambridge St Fl 6, Brighton, MA 02135-2907 | |
| (617) 779-6083 | |
| (617) 415-2002 |
| Full Name | Zachary L Tataryn |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 736 Cambridge St Fl 6, Brighton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518251834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 295007 (Massachusetts) | Primary |
| 207T00000X | Neurological Surgery | MD61125187 (Washington) | Secondary |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Revere Medical Of Massachusetts Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336976539 PECOS PAC ID: 0749715795 Enrollment ID: O20241127001349 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary L Tataryn, MD 960 Massachusetts Ave, Fl 2, Boston, MA 02118-2690 Ph: () - | Zachary L Tataryn, MD 736 Cambridge St Fl 6, Brighton, MA 02135-2907 Ph: (617) 779-6083 |
Dr. Ekkehard Matthias Kasper, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, 6th Floor, Brighton, MA 02135 Phone: 617-779-6083 Fax: 617-779-6094 | |
Serdar Kaya, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, 6th Floor, Brighton, MA 02135 Phone: 617-779-6083 |