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NPI Code Detail

MEDICARE: TAMARA CLAUDINE SURGEON

MEDICARE: TAMARA CLAUDINE SURGEON
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
1171M00000XCase Manager/Care Coordinator256590268NY

General Provider Information

NPI Number : 1538630512
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA CLAUDINE SURGEON
Provider Business Mailing Address
First Line : 2336 W 8TH ST APT 2A
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4529
Country : US
Telephone Number : 347-893-8774
Fax Number :
Provider Business Practice Location Address
First Line : 2336 W 8TH ST APT 2A
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4529
Country : US
Telephone Number : 347-893-8774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/17/2018

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Directions to “ TAMARA CLAUDINE SURGEON ” Practice Location

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