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Organization

PRABHAT K. TANDON, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRABHAT KUMAR TANDON M.D. (PRESIDENT)
(484) 821-0255
Entity
Organization

Contact information

Practice address
2591 BAGLYOS CIR, SUITE C49, BETHLEHEM, PA 18020-8043
(484) 821-0255
(484) 821-0287
Mailing address
2591 BAGLYOS CIR, SUITE C49, BETHLEHEM, PA 18020-8043
(484) 821-0255
(484) 821-0287

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
25MA07690200
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD072463L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1671656
HIGHMARK BS
PA
Enumeration date
12/14/2006
Last updated
09/17/2013
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