Individual
ELLEN P TATTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMG - FORDHAM FAMILY PRACTICE, ONE FORDHAM PLAZA, BRONX, NY 10458
(718) 405-4010
Mailing address
3544 JEROME AVE, BRONX, NY 10467-1005
(718) 405-4010
(718) 405-4058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160251
NY
Other
Enumeration date
10/26/2006
Last updated
02/02/2010
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