MEDICARE: DR. TOLGA TANELI 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
1	2084P0800X	Psychiatry Physician	25MA07879700	NJ
2	2084P0804X	Child & Adolescent Psychiatry Physician	25MA07879700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386729457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOLGA TANELI MD

Provider Business Mailing Address
First Line	:	126 WASHINGTON ST STE 1
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-9317
Country	:	US
Telephone Number	:	973-944-0844
Fax Number	:	973-934-4344

Provider Business Practice Location Address
First Line	:	126 WASHINGTON ST STE 1
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-9317
Country	:	US
Telephone Number	:	973-944-0844
Fax Number	:	973-934-4344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	09/10/2019

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Directions to “ DR. TOLGA TANELI MD” Practice Location

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