Individual
TAREK H MARDAM-BEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DEAN DRIVE, TENAFLY, NJ 07670
(201) 569-0061
(201) 569-5602
Mailing address
2 DEAN DRIVE, TENAFLY, NJ 07670
(201) 569-0061
(201) 569-5602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1265861
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
1265861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00306189
—
NY
05
—
6309305
—
NJ
Enumeration date
01/09/2007
Last updated
07/17/2013
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