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Contact Information

LAURA TAVAREZ, MD
138 S MAIN ST
FORKED RIVER, NJ08731-3625
 Phone: 609-756-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LAURA TAVAREZ · (Female)

NPI Number 1053675397
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2012
Last updated 07/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA09703900
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER - (Acute Care)
    99 RT 37 WEST
    TOMS RIVER, NJ 08755
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • SOUTHERN OCEAN MEDICAL CENTER - (Acute Care)
    1140 RT 72 W
    MANAHAWKIN, NJ 08050
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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