Michael A. Tavill MD
Pediatric Otolaryngology Physician in Shrewsbury, NJ(View on Map)
Full Name
Michael Andrew Tavill MD
NPI Number
1417030792
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/23/2006
Specialties
(Taxonomies)Code
207YP0228X
207YS0012X
Primary Taxonomy
Yes
No
Licenses
State
New Jersey
License Number
25MA06549000
Contact
Information
Purpose
Mailing
Location
Address
660 WHITE PLAINS RD FL 4
1131 BROAD STREET
City
Tarrytown
Shrewsbury
State
NY
NJ
Postal Code
10591-5139
07702
Country
US
US
Telephone Number
(914) 984-2546
(732) 389-3388
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/01/2019