Healthcare Provider Details

I. General information

NPI: 1699931386
Provider Name (Legal Business Name): TAMER A ATTIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2008
Last Update Date: 09/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 W SHERMAN AVE
VINELAND NJ
08360-6912
US

IV. Provider business mailing address

PO BOX 650782
DALLAS TX
75265-0782
US

V. Phone/Fax

Practice location:
  • Phone: 856-363-1000
  • Fax: 610-789-9937
Mailing address:
  • Phone: 610-789-8070
  • Fax: 610-789-9937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA08521600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: