Individual
TAMARA G BAVENDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 E 42ND ST, 235/4/46, NEW YORK, NY 10017-5703
(212) 733-3936
Mailing address
235 E 42ND ST, 235/4/46, NEW YORK, NY 10017-5703
(212) 733-3936
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD061573L
PA
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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