Provider Demographics
NPI:1366430209
Name:TAFFET, BERTON (MD)
Entity type:Individual
Prefix:DR
First Name:BERTON
Middle Name:
Last Name:TAFFET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:111 MADISON AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-984-0404
Practice Address - Fax:973-290-2360
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2024-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04471800207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2045702Medicaid
NJC61317Medicare UPIN