Mason-Eastmond, Tania

Mason-Eastmond, Tania is an individual health care provider with primary practice located at 5301 Broadway , West New York NJ 07093-2622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mason-Eastmond, Tania can be contacted via phone (201) 866-9320.

Contact Information

Primary practice address
5301 Broadway West New York NJ 07093-2622
Fax: (201) 867-9183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MB07026100 New Jersey

Profile Details

NPI number 1356362032
LBN Legal business name Mason-Eastmond, Tania
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Mar 13th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356362032 NPPES
New Jersey MEDICAID 8330603

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