NPI 1235149766 · live from the CMS NPI Registry
Tatyana N Aliferova, MD
Internal Medicine in Burlington, NJ. National Provider Identifier 1235149766, active.
NPI record
| NPI | 1235149766 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 309 W Broad St, Burlington, NJ 08016 |
| Practice phone | 609-387-2142 |
| Mailing address | 1 Federal St # 200, Camden, NJ 08103 |
| Enumerated | August 8, 2006 |
| Last updated | November 30, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 25MA07644300 (NJ) |
| Internal Medicine primary | 207R00000X | 25MA07644300 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.