Individual
WAMIDH TELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 W SAINT GEORGES AVE, LINDEN, NJ 07036-5638
(908) 925-7519
(908) 925-2842
Mailing address
1400 SOUTH AVE # 1-429, PLAINFIELD, NJ 07062-1964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12372700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
08/28/2024
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