Individual
MARY B TADROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 517-2648
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 517-2648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26112
NE
208M00000X
Hospitalist Physician
26112
NE
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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