Individual
TATIANA SHTERN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 MADISON AVE, 1ST FLOOR, PARAMUS, NJ 07652-2734
(201) 712-1599
(201) 843-7449
Mailing address
22 MADISON AVE, 1ST FLOOR, PARAMUS, NJ 07652-2734
(201) 712-1599
(201) 843-7449
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA71301
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8480401
—
NJ
Enumeration date
05/21/2006
Last updated
07/08/2007
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