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Individual
MICHAEL ANDREW TAVILL
Active
Individual
MICHAEL ANDREW TAVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
25MA06549000
NJ
207YS0012X
Sleep Medicine (Otolaryngology) Physician
25MA06549000
NJ
Other
Enumeration date
10/23/2006
Last updated
04/01/2019
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