Tavill, Michael Andrew

Tavill, Michael Andrew is an individual health care provider with primary practice located at 1131 Broad Street Ste 103, Shrewsbury NJ 07702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Tavill, Michael Andrew can be contacted via phone (732) 389-3388.

Contact Information

Primary practice address
1131 Broad Street Ste 103 Shrewsbury NJ 07702
Phone: (732) 389-3388
Fax: (732) 389-3389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 25MA06549000 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 25MA06549000 New Jersey

Profile Details

NPI number 1417030792
LBN Legal business name Tavill, Michael Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 1st, 2019 - about 6 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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