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Individual

GLADYS TOMPAR TIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
125 PATERSON ST STE 2200, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7647
Mailing address
125 PATERSON ST STE 2200, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7647

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08696500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0265942
NJ
01
P00993902
RR MCR PTAN
NJ
Enumeration date
05/02/2010
Last updated
06/26/2012
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