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NPI Code Detail

MEDICARE: TRACI A TAMBURELLO D.O.

MEDICARE:   TRACI A TAMBURELLO  D.O.
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
1207Q00000XFamily Medicine PhysicianMB07292000NJ

General Provider Information

NPI Number : 1013911486
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI A TAMBURELLO D.O.
Provider Business Mailing Address
First Line : 402 LIPPINCOTT DR
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4112
Country : US
Telephone Number : 856-782-3300
Fax Number :
Provider Business Practice Location Address
First Line : 1098 STELTON RD
Second Line :
City : PISCATAWAY
State : NJ
Zip : 08854-5288
Country : US
Telephone Number : 732-572-5950
Fax Number : 732-572-6384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 05/01/2024

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Directions to “ TRACI A TAMBURELLO D.O.” Practice Location

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