Provider Demographics
NPI:1558600098
Name:SORAGHAN, TARA ANNE (DPM)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:ANNE
Last Name:SORAGHAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3107 WHITE MOUNTAIN HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-7106
Mailing Address - Country:US
Mailing Address - Phone:603-356-7061
Mailing Address - Fax:603-356-3942
Practice Address - Street 1:3107 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-7106
Practice Address - Country:US
Practice Address - Phone:603-356-7061
Practice Address - Fax:603-356-3942
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0350213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist