Bandak, Tania M
Bandak, Tania M is an individual health care provider with primary practice located at 109 Andrew Ave , Wayland MA 01778-3156. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bandak, Tania M can be contacted via phone (781) 453-8450.Contact Information
Primary practice address
109 Andrew Ave
Wayland MA 01778-3156
Phone: (781) 453-8450
Fax: (781) 453-8470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 214215 | Massachusetts |
Profile Details
| NPI number | 1134102064 |
|---|---|
| LBN Legal business name | Bandak, Tania M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Nov 26th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134102064 | NPPES |
| Massachusetts | MEDICAID | 0182711 |
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