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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184614331 NPPES
Massachusetts MEDICAID 2006600

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