Individual
DR. STUTI TAMBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
192 PARK CLUB LN STE 120, WILLIAMSVILLE, NY 14221-5270
(716) 422-0010
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(866) 853-9551
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
152140
CA
2086X0206X
Surgical Oncology Physician
Primary
303976
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06148049
—
NY
Enumeration date
03/26/2010
Last updated
10/30/2020
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