Tatiana Sharahy Md Inc

NPI 1235539438 - Internal Medicine - 207R00000X

NPI Details
NPI 1235539438
Enumeration Date 08/26/2014
Last Updated 08/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TATIANA TATIANA
Position OWNER
Phone (973) 692-9631
Fax
Practice Location
87 BERDAN AVE
SUITE 2B
WAYNE NJ, 07470-3210, US
Phone (973) 692-9631
Fax
Business Location
87 BERDAN AVE
SUITE 2B
WAYNE NJ, 07470-3210, US
Phone (973) 692-9631
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 25MA07099100
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According to our database, Tatiana Sharahy Md Inc NPI is 1235539438, taxonomy code is 207R00000X and license number is 25MA07099100, license state is located at New Jersey. Tatiana Sharahy Md Inc physically located at 87 Berdan Ave, Wayne NJ, 07470-3210. NPI Number 1033115704 has the healthcare provider type.

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1235539438 NPI number is provided on an as is basis without warranty of any kind. 1235539438 is maintained by the National Plan & Provider Enumeration System. The contents of Tatiana Sharahy Md Inc are for informational purposes only.