Individual
DR. TYRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
454 ELIZABETH AVE STE 210, SOMERSET, NJ 08873-5111
(732) 469-4871
Mailing address
1000 GALLOPING HILL RD STE 108, UNION, NJ 07083-7989
(908) 522-3730
(908) 688-3621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA11977700
NJ
207QA0505X
Adult Medicine Physician
Primary
25MA11977700
NJ
Other
Enumeration date
04/21/2021
Last updated
08/11/2025
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