Individual
TAMARA TATUNCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6889
Mailing address
880 NEW JERSEY AVE SE, APT 728, WASHINGTON, DC 20003-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012299
OH
Other
Enumeration date
06/04/2015
Last updated
09/14/2016
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