Individual
DR. ALFRED J TABATZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26951 ESCONDIDO LN, MISSION VIEJO, CA 92691-6020
(949) 305-7897
Mailing address
26951 ESCONDIDO LANE, MISSION VIEJO, CA 92691-6020
(949) 305-7897
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
AFE21752
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
AFE21752
CA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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