Individual
ALEXANDRA LAUREN TABAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX 19, NEW BRUNSWICK, NJ 08903-0019
(732) 235-7674
(732) 235-8372
Mailing address
4 KNOLLWOOD TER, RANDOLPH, NJ 07869-3012
(862) 812-7749
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA10997100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
NJ
Other
Enumeration date
05/25/2017
Last updated
08/09/2025
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