Individual
DR. JOHN JOSEPH TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, DEPT OF PEDIATRICS, DIVISION OF NEONATOLOGY,HSC,T11,060, STONY BROOK, NY 11794-7148
(631) 444-2754
(631) 444-6031
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE, STONY BROOK, NY 11794-7148
(631) 444-2754
(631) 444-6031
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
251771
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2008
Last updated
06/16/2011
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