Tartakovsky, Irina

Tartakovsky, Irina is an individual health care provider with primary practice located at 177 N Dean St Suite 207, Englewood NJ 07631-2533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tartakovsky, Irina can be contacted via phone (201) 567-0446.

Contact Information

Primary practice address
177 N Dean St Suite 207 Englewood NJ 07631-2533
Phone: (201) 567-0446
Fax: (201) 567-8775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07075300 New Jersey

Profile Details

NPI number 1982685103
LBN Legal business name Tartakovsky, Irina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Nov 8th, 2007 - about 17 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 1982685103 NPPES
New Jersey Other 2K0909 HEALTH NET
New Jersey MEDICAID 8262608 HEALTH NET
New Jersey Other P2521880 HEALTH NET
New Jersey Other 8771490002 HEALTH NET

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