Individual
DR. TARA M BALIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
787 11TH AVE FL 7, NEW YORK, NY 10019-3584
(212) 604-6000
Mailing address
150 E 42ND ST FL 10, NEW YORK, NY 10017-5612
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09145900
NJ
2086X0206X
Surgical Oncology Physician
Primary
316133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431575
—
NJ
Enumeration date
04/29/2010
Last updated
04/04/2023
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