Zigadlo, Tatyana

Zigadlo, Tatyana is an individual health care provider with primary practice located at 308 Willow Ave , Hoboken NJ 07030-3808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Zigadlo, Tatyana can be contacted via phone (201) 418-2065.

Contact Information

Primary practice address
308 Willow Ave Hoboken NJ 07030-3808
Phone: (201) 418-2065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07494000 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 297712 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD466581 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME139685 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 277926 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07494000 New Jersey

Profile Details

NPI number 1356349187
LBN Legal business name Zigadlo, Tatyana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 22nd, 2019 - about 5 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 1356349187 NPPES
New Jersey MEDICAID 9054103

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