Matin, Tanjila

Matin, Tanjila is an sole proprietor health care provider with primary practice located at 109 Seven Bridges Rd , East Stroudsburg PA 18301. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Matin, Tanjila can be contacted via phone (570) 431-0788.

Contact Information

Primary practice address
109 Seven Bridges Rd East Stroudsburg PA 18301
Phone: (570) 431-0788
Fax: (570) 431-0708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00282300 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00282300 New Jersey

Profile Details

NPI number 1518911049
LBN Legal business name Matin, Tanjila
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Oct 12th, 2012 - about 12 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 1518911049 NPPES
Pennsylvania MEDICAID 1019459670001

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