Individual
TAMIR BEN MENACHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA07616200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004171
—
NJ
01
—
P00076868
RR MCR PTAN
NJ
Enumeration date
11/01/2006
Last updated
10/26/2012
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