Individual
DR. TANASHA SIMELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1065 SOUTHERN BOULEVARD, MEDICAL AFFAIRS, BRONX, NY 10459
(718) 589-2440
(718) 991-4516
Mailing address
725 RIVER RD STE 32-114, EDGEWATER, NJ 07020-1171
(844) 433-7636
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MB10158200
NJ
207N00000X
Dermatology Physician
Primary
290569
NY
Other
Enumeration date
06/26/2008
Last updated
03/12/2020
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