Organization
MANISH TANDON, MD,ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH TANDON M.D., P.C. (DOCTOR)
(617) 562-0500
Entity
Organization
Contact information
Practice address
300 MOUNT AUBURN ST, SUITE 406, CAMBRIDGE, MA 02138-5600
(617) 562-0500
(617) 562-0600
Mailing address
300 MOUNT AUBURN ST, SUITE 406, CAMBRIDGE, MA 02138-5600
(617) 562-0500
(617) 562-0600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
115573
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186619
—
MA
Enumeration date
03/26/2007
Last updated
08/21/2009
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