Male or Other

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

Provider Address