Takhtarov, Emily

Takhtarov, Emily is an sole proprietor health care provider with primary practice located at 141 Route 70 E Ste B , Marlton NJ 08053-1855. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Takhtarov, Emily can be contacted via phone (856) 596-9057.

Contact Information

Primary practice address
141 Route 70 E Ste B Marlton NJ 08053-1855
Phone: (856) 596-9057
Fax: (856) 596-0837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ15114400 New Jersey
Nursing Service Providers / Registered Nurse 163W00000X 26NR26058900 New Jersey

Profile Details

NPI number 1659119220
LBN Legal business name Takhtarov, Emily
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2024
Last updated Nov 11th, 2024 - about 2 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 1659119220 NPPES
New Jersey MEDICAID 1028596

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