Tavarez, Laura

Tavarez, Laura is an individual health care provider with primary practice located at 138 S Main St , Forked River NJ 08731-3625. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tavarez, Laura can be contacted via phone (609) 756-0000.

Contact Information

Primary practice address
138 S Main St Forked River NJ 08731-3625
Phone: (609) 756-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA09703900 New Jersey

Profile Details

NPI number 1053675397
LBN Legal business name Tavarez, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Jul 27th, 2021 - about 3 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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