Organization
TAJ MEDICAL PLLC
Active
Other names
TAJ MEDICAL PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAJDHARY TIWARI MD (OWNER)
(347) 385-6059
Entity
Organization
Contact information
Practice address
10925 111TH ST, SOUTH OZONE PARK, NY 11420-1015
(347) 385-6059
Mailing address
10923 111TH ST, SOUTH OZONE PARK, NY 11420-1015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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