Healthcare Provider Details

I. General information

NPI: 1699278465
Provider Name (Legal Business Name): TAMARA ALHOBAYB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BERGEN ST STE 3500
NEWARK NJ
07103-2425
US

IV. Provider business mailing address

90 BERGEN ST STE 3500
NEWARK NJ
07103-2425
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-2343
  • Fax: 973-972-4695
Mailing address:
  • Phone: 973-972-2343
  • Fax: 973-972-4695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA12885000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: