Individual
MRS. TAMAR M LADERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
104 PLAIN HILL RD, BALTIC, CT 06330-1051
(860) 464-4170
Mailing address
10 RIVER RD APT 11M, NEW YORK, NY 10044-1148
(908) 794-5643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
623796-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F337157
NY
Other
Enumeration date
09/12/2012
Last updated
07/06/2023
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