Individual
TAMI R KAVANAGHT-SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(855) 624-8963
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(855) 624-8963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010695
NY
Other
Enumeration date
07/20/2006
Last updated
07/17/2023
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