Individual
DR. TANJILA MATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
109 SEVEN BRIDGES RD, EAST STROUDSBURG, PA 18301
(570) 431-0788
(570) 431-0708
Mailing address
32 ALEXANDRA CIR, MOUNT BETHEL, PA 18343-5781
(570) 431-0788
(570) 431-0706
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00282300
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00282300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019459670001
—
PA
Enumeration date
05/20/2006
Last updated
10/12/2012
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