Michael, Jonathan Tadros

Michael, Jonathan Tadros is an individual health care provider with primary practice located at 855 Broadway , Bayonne NJ 07002-3018. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Michael, Jonathan Tadros can be contacted via phone (201) 535-8978.

Contact Information

Primary practice address
855 Broadway Bayonne NJ 07002-3018
Phone: (201) 535-8978
Fax: (201) 535-8979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00290800 New Jersey

Profile Details

NPI number 1417171638
LBN Legal business name Michael, Jonathan Tadros
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Mar 29th, 2023 - about 3 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 1417171638 NPPES
New Jersey MEDICAID 0514471

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