Individual
TAMAR JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17 WESTGATE RD APT D, TEANECK, NJ 07666-5044
(201) 962-5828
Mailing address
17 WESTGATE RD APT D, TEANECK, NJ 07666-5044
(201) 962-5828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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