Individual
TANYA MASAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 S ORANGE AVE # MSBF-603, NEWARK, NJ 07103-2757
(963) 972-0740
Mailing address
PEDIATRIC CRITICAL CARE MEDICINE, 201 LYONS AVE, NEWARK, NJ 07112
(908) 347-8886
(973) 926-6452
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101268708
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA11857700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2017
Last updated
03/07/2024
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