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Individual

DR. MONA Y TATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6825 16TH ST NW, WASHINGTON, DC 20306-0003
(202) 782-2100
Mailing address
2813 34TH PL NW, WASHINGTON, DC 20007-1406
(202) 248-1408

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
199945
NY

Other

Enumeration date
07/31/2006
Last updated
07/08/2007
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