Individual
DR. TANIA M BANDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 ANDREW AVE, WAYLAND, MA 01778-3156
(781) 453-8450
(781) 453-8470
Mailing address
109 ANDREW AVE, WAYLAND, MA 01778-3156
(781) 453-8450
(781) 453-8470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214215
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182711
—
MA
Enumeration date
11/23/2005
Last updated
11/26/2014
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