Individual
MRS. GEORGETTE TADROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
931 BUENA VISTA, STE 202, DUARTE, CA 91010
(626) 301-1515
(626) 301-1519
Mailing address
931 BUENA VISTA, STE 202, DUARTE, CA 91010
(626) 301-1515
(626) 301-1519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
954241388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A42125
—
CA
Enumeration date
09/13/2006
Last updated
02/17/2012
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