White, Tyra

White, Tyra is an individual health care provider with primary practice located at 1000 Galloping Hill Rd Ste 108 , Union NJ 07083-7989. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. White, Tyra can be contacted via phone (908) 522-3730.

Contact Information

Primary practice address
1000 Galloping Hill Rd Ste 108 Union NJ 07083-7989
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 25MA11977700 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA11977700 New Jersey

Profile Details

NPI number 1396327136
LBN Legal business name White, Tyra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Jul 5th, 2024 - about 4 months 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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