Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 165111-1 | NY |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 25MA05675500 | NJ |
NPI | 1093058851 |
---|---|
Provider Name | Dr. Craig L Tendler |
First Address | Raritan, NJ 08869-1420 |
Second Address | Raritan, NJ 08869-1420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2013 |
Last Update Date | 30/03/2013 |