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NPI Code Detail

MEDICARE: PILAR G TAM MD

MEDICARE: PILAR G TAM MD
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
1208000000XPediatrics Physician0101238006VA

General Provider Information

NPI Number : 1356329916
Entity Type Code : Individual
Provider Name (Legal Business Name) : PILAR G TAM MD
Provider Business Mailing Address
First Line : 2 EAST GLEBE ROAD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22305
Country : US
Telephone Number : 703-535-5568
Fax Number : 703-299-1794
Provider Business Practice Location Address
First Line : 2 E GLEBE RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22305-2938
Country : US
Telephone Number : 703-535-5568
Fax Number : 703-299-1794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 07/21/2022

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Directions to “ PILAR G TAM MD” Practice Location

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