Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 257841-1 | NY |
Y | 2080P0210X | Pediatric Nephrologist | 257841-1 | NY |
NPI | 1346554060 |
---|---|
Provider Name | Dr. Hanan K Tawadrous |
First Address | Paterson, NJ 07503-2621 |
Second Address | Paterson, NJ 07503-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2010 |
Last Update Date | 17/03/2018 |