Gleeson, Tara E.
Gleeson, Tara E. is an sole proprietor health care provider with primary practice located at 2201 Chapel Ave W , Cherry Hill NJ 08002-2048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gleeson, Tara E. can be contacted via phone (856) 488-6816.Contact Information
Primary practice address
2201 Chapel Ave W
Cherry Hill NJ 08002-2048
Phone: (856) 488-6816
Fax: (856) 488-6511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MB61362 | New Jersey |
Profile Details
| NPI number | 1558302620 |
|---|---|
| LBN Legal business name | Gleeson, Tara E. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 12th, 2007 - about 18 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 | 1558302620 | NPPES |
| New Jersey | MEDICAID | 6708404 |
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