Tanya Stavisky
Orthodontists
1171 E Landis Ave
Vineland
, New Jersey 08360-4200
Tanya Stavisky
Orthodontists
1171 E Landis Ave
Vineland
, New Jersey 08360-4200
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Tanya Stavisky
- 32 Jefferson Ave
- Haddonfield, NJ
- Zip : 08033-3410
- Phone :
Second Address
- Tanya Stavisky
- 1171 E Landis Ave
- Vineland, NJ
- Zip : 08360-4200
- Fax : (856) 691-1498
- Phone : (856) 691-7142
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Is Tanya Stavisky a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 21163 | NJ |
National Provider Identifier
| NPI | 1023136843 |
|---|---|
| Provider Name | Tanya Stavisky |
| First Address | Haddonfield, NJ 08033-3410 |
| Second Address | Vineland, NJ 08360-4200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.