Individual
TAMARA VANDERWAL
Active
Individual
TAMARA VANDERWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
48377
CT
Other
Enumeration date
12/27/2007
Last updated
11/06/2015
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