Healthcare Provider Details

I. General information

NPI: 1851738744
Provider Name (Legal Business Name): TAMMY ANDERSON DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 05/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 ROBBINSVILLE ALLENTOWN RD
ROBBINSVILLE NJ
08691-1509
US

IV. Provider business mailing address

315 ROBBINSVILLE-ALLENTOWN RD
ROBBINSVILLE NJ
08691
US

V. Phone/Fax

Practice location:
  • Phone: 609-259-8300
  • Fax: 609-259-8484
Mailing address:
  • Phone: 609-259-8300
  • Fax: 609-259-8484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number29VI00474200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: