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Individual
DR. ROSAANABELA RENAUD TAVARES
Active
Individual
DR. ROSAANABELA RENAUD TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229357
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02733168
—
NY
01
—
A400221010
MEDICARE PART B
NY
Enumeration date
04/20/2006
Last updated
10/31/2021
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