Individual
DR. CAROLYN TABAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
844 IRIS AVE, BOULDER, CO 80304-1758
(301) 445-4013
Mailing address
844 IRIS AVE, BOULDER, CO 80304-1758
(585) 330-1556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60 226042
NY
Other
Enumeration date
08/13/2014
Last updated
03/17/2018
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