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MANISH TANDON MDASSOCIATES PC NPI 1487772083


NPI Information

NPI: 1487772083
Provider Name: MANISH TANDON, MD,ASSOCIATES PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
300 MOUNT AUBURN ST
SUITE 406
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 562-0500
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MANISH TANDON, MD,ASSOCIATES PC is a specialist in Cambridge, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MANISH TANDON, MD,ASSOCIATES PC NPI is 1487772083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 MOUNT AUBURN ST
SUITE 406
CAMBRIDGE, MA
ZIP 02138-600
Phone: (617) 562-0500
Fax: (617) 562-0600

The provider's authorized official is Manish Tandon .
The authorized official title is Doctor and has the following contact phone number (617) 562-0500.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist115573MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10186619MEDICAIDMASSACHUSETTS
2G90468MEDICARE UPINMASSACHUSETTS
3A33076MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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