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Contact Information

LYNDY M TANIMAE, PA-C
6601 VENTNOR AVE STE 105
VENTNOR CITY, NJ08406
 Phone: 609-350-6680
 Fax: 609-317-4868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LYNDY M TANIMAE · (Female)

NPI Number 1134140403
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/22/2006
Last updated 09/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00080800
Hospital affiliation(s) Not Available
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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