Birendra N Tandan MD LLC
Organization Active NPI Urology Physician · Hammonton, NJ
NPI 1265646293 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1265646293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- MA02717700 (NJ)
- Legal business name
- BIRENDRA N TANDAN MD LLC
- Practice address
- 560 Bellevue Avenue
Hammonton, NJ 08037-1933 - Phone
- (609) 561-8625
- Fax
- (609) 561-5371
- NPI assigned
- May 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Birendra Nath Tandan, MD
- Title
- Physican
- Phone
- (609) 561-8625
Practitioners 1
-
Birendra Nath Tandan, M.D.
National Provider Directory
Locations
560 Bellevue Ave
Hammonton, NJ 08037
Phone (609) 561-8625
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | MA02717700 | NJ | Yes |
Addresses
Primary practice location
560 Bellevue Avenue
Hammonton, NJ 08037-1933
Mailing address
560 Bellevue Avenue
Hammonton, NJ 08037-1933
Phone (609) 561-8625
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2871700 | Medicaid | NJ |
Other providers in Hammonton, NJ
- Beyond Balance & Rehabilitation LLC
- Priyanky Bhatt
- Jamil Bhatti
- Saima A Bhutta
- David Bianco
- Marianne M Blair
- Gabriela Margarita Blanco
- Chelsey Nicole Bonvechio
- Charles Boxman
- Bobby Bright Jr.
All providers in Hammonton, NJ · Urology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.