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NPI Code Detail

MEDICARE: WAYNE G. TAMASKA DO

MEDICARE: WAYNE G. TAMASKA DO
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
1207P00000XEmergency Medicine PhysicianMB60051NJ

Other Identifiers

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

General Provider Information

NPI Number : 1962459180
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAYNE G. TAMASKA DO
Provider Business Mailing Address
First Line : 101 JEFFERSON AVE
Second Line :
City : PITMAN
State : NJ
Zip : 08071-2325
Country : US
Telephone Number : 856-582-8018
Fax Number :
Provider Business Practice Location Address
First Line : 18 LAUREL RD E
Second Line :
City : STRATFORD
State : NJ
Zip : 08084-1327
Country : US
Telephone Number : 856-346-7816
Fax Number : 856-346-6385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/08/2007

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Directions to “ WAYNE G. TAMASKA DO” Practice Location

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