Individual
TAMARA AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 66TH ST, WEST NEW YORK, NJ 07093-2401
(201) 861-9229
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA11089900
NJ
Other
Enumeration date
07/07/2017
Last updated
07/09/2021
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