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Individual

DR. DANIEL TARDITI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
210 W ATLANTIC AVE, HADDON HEIGHTS, NJ 08035-1715
(856) 547-0539
(856) 547-3178
Mailing address
120 WHITE HORSE PIKE, SUITE 112, HADDON HEIGHTS, NJ 08035-1927
(856) 547-0539
(856) 547-3178

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MB07880500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0128279
NJ
Enumeration date
06/29/2006
Last updated
12/10/2007
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