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Individual

TANYA BANERJEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9318 STATE ROUTE 14, 3RD FLOOR, STREETSBORO, OH 44241
(330) 626-2710
(330) 626-5978
Mailing address
6623 CHESTWICK LANE, HUDSON, OH 44236
(330) 342-4795

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-083642
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2460831
OH
Enumeration date
11/28/2006
Last updated
12/28/2020
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