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Organization
MICHAEL JOSEPH TADROS MD PLLC
Active
Organization
MICHAEL JOSEPH TADROS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TADROS MD (OWNER)
(718) 207-6197
Entity
Organization
Contact information
Practice address
148 NEW DORP LN, STATEN ISLAND, NY 10306-3004
(718) 207-6197
Mailing address
148 NEW DORP LN, STATEN ISLAND, NY 10306-3004
(718) 207-6197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267332-01
STATE LICENSE
NY
Enumeration date
09/08/2022
Last updated
09/08/2022
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