Daniella Tavares
NPI #1962010447 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1962010447
- Entity Type
- Individual
- Name
- Daniella Tavares
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 21, 2020
- Last Updated
- Nov 25, 2022
Practice Location
- Address
- 30 PROSPECT AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1915
- Phone
- (551) 996-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
| Physician Assistant - Surgical — Surgical |
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