Mouravskaia, Tatiana

Mouravskaia, Tatiana is an individual health care provider with primary practice located at 511 S Orange Ave , South Orange NJ 07079-2636. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Mouravskaia, Tatiana can be contacted via phone (973) 200-3600.

Contact Information

Primary practice address
511 S Orange Ave South Orange NJ 07079-2636
Phone: (973) 200-3600
Fax: (973) 821-3651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA69395 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA69395 New Jersey

Profile Details

NPI number 1851481857
LBN Legal business name Mouravskaia, Tatiana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 8th, 2008 - about 16 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 1851481857 NPPES
New Jersey MEDICAID 8141509

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