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1922040617 NPI number — TAMARA WEISMAN D.O.

NPI Number: 1922040617
Health Care Provider/Practitioner: TAMARA WEISMAN D.O.

Information about “1922040617” NPI (TAMARA WEISMAN D.O.) exists in 1922040617 in HTML format HTML  |  1922040617 in plain Text format TXT  |  1922040617 in PDF (Portable Document Format) PDF  |  1922040617 in an XML format XML  formats.

NPI Number : 1922040617 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922040617",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEISMAN",
    "FirstName": "TAMARA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14 RIDGEDALE AVE",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "CEDAR KNOLLS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07927-1106",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-998-6181",
    "MailingAddressFaxNumber": "973-629-1431",
    "FirstLinePracticeLocationAddress": "14 RIDGEDALE AVE",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "CEDAR KNOLLS",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07927-1106",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-998-6181",
    "PracticeLocationAddressFaxNumber": "973-629-1431",
    "EnumerationDate": "06/10/2006",
    "LastUpdateDate": "01/09/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "25MB08893300",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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