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NPI Code Detail

MEDICARE: DR. TARIK KUMRAL M.D.

MEDICARE: DR. TARIK KUMRAL M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMA28900NJ

General Provider Information

NPI Number : 1275595779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TARIK KUMRAL M.D.
Provider Business Mailing Address
First Line : 175 HIGH ST
Second Line :
City : NEWTON
State : NJ
Zip : 07860-1004
Country : US
Telephone Number : 973-579-8715
Fax Number :
Provider Business Practice Location Address
First Line : 175 HIGH ST
Second Line :
City : NEWTON
State : NJ
Zip : 07860-1004
Country : US
Telephone Number : 973-579-8715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 11/14/2007

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