Handerson, Tamara
Handerson, Tamara is an individual health care provider with primary practice located at 5 Perryridge Rd Department Of Pathology, Greenwich CT 06830-4697. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Handerson, Tamara can be contacted via phone (203) 863-3927.Contact Information
Primary practice address
5 Perryridge Rd Department Of Pathology
Greenwich CT 06830-4697
Phone: (203) 863-3927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 216104 | Massachusetts |
Profile Details
| NPI number | 1184614331 |
|---|---|
| LBN Legal business name | Handerson, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Mar 7th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184614331 | NPPES |
| Massachusetts | MEDICAID | 2006600 |
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