Individual
KAMERON TAVAKOLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 775-5500
Mailing address
1006 AROSE LN, MIDDLETOWN, NJ 07748-1942
(240) 506-1005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12251800
NJ
Other
Enumeration date
04/12/2021
Last updated
06/07/2024
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