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NPI Code Detail

MEDICARE: AMRO TAMBAL

MEDICARE: AMRO TAMBAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1912842493
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMRO TAMBAL
Provider Business Mailing Address
First Line : 185 S ORANGE AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07103-2757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 185 S ORANGE AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07103-2757
Country : US
Telephone Number : 732-445-4636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ AMRO TAMBAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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