Individual
SUMRA TAYEBALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
419 N HARRISON ST STE 201, PRINCETON, NJ 08540-3521
(609) 924-9300
Mailing address
419 N HARRISON ST, PRINCETON, NJ 08540-3594
(609) 924-9300
(609) 430-9481
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA10428000
NJ
207V00000X
Obstetrics & Gynecology Physician
MT207028
PA
Other
Enumeration date
05/29/2014
Last updated
07/27/2021
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