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Contact Information

TATIANA GANDRABURA, MD
401 YOUNG AVE STE 245B
MOORESTOWN, NJ08057-3132
 Phone: 856-727-0900
 Fax: 856-231-8428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TATIANA GANDRABURA · (Female)

NPI # 1861602740
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 02/19/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA09181800
  • NJ Medicaid 0346292
Hospital affiliation(s)
  • VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY - (Acute Care)
    175 MADISON AVE
    MOUNT HOLLY, NJ 08060
  • VIRTUA WEST JERSEY HOSPITALS BERLIN - (Acute Care)
    WHITEHORSE PIKE AND TOWNSEND AVENUE
    BERLIN, NJ 08009
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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