Luciano Diaz-tairovich, LMT is a
Massage Therapist based in Dover, New Jersey. Luciano Diaz-tairovich is licensed to practice in New Jersey (license number 18KT00638600) and his current practice location is
2 E Blackwell St Ste 15, Dover, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(908) 220-0732.
NPI number for Luciano Diaz-tairovich is 1083128649 and his current mailing address is 2 E Blackwell St Ste 15, Dover, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083128649.
Healthcare Provider's Profile
Full Name | Luciano Diaz-tairovich |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 2 E Blackwell St Ste 15, Dover, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083128649
- Provider Enumeration Date: 11/18/2017
- Last Update Date: 11/18/2017
Medical Identifiers
Medical identifiers for Luciano Diaz-tairovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083128649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 18KT00638600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luciano Diaz-tairovich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Luciano Diaz-tairovich, LMT 2 E Blackwell St Ste 15, Dover, NJ 07801-4645 Ph: (908) 220-0732 | Luciano Diaz-tairovich, LMT 2 E Blackwell St Ste 15, Dover, NJ 07801-4645 Ph: (908) 220-0732 |
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