Individual
DR. JUSTINA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
STONY BROOK UROLOGY, HSC T-9 ROOM 040, STONY BROOK, NY 11794-0001
(631) 444-6270
(631) 444-7620
Mailing address
STONY BROOK MEDICINE - DEPARTMENT OF UROLOGY, HSC LEVEL 9 - ROOM 040, STONY BROOK, NY 11794
(631) 444-1910
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
318701
NY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
FE61076599
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
08/12/2022
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