Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICKRAM JAY TANDON, MD
Active Sole ProprietorVICKRAM JAY TANDON, MD is a Plastic Surgery healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1407207145 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · JAMAICA PLAIN, MA
Registration Details
- NPI Number
- 1407207145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2016 (10.159893756343 yrs)
- Last Updated
- Jun 22, 2022
- Licenses
-
4301110334 (MI)291776 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
476 JAMAICAWAY APT 2JAMAICA PLAIN, MA, 021302030Browse MA providers · Browse ZIP 02130
- Phone
- 5103647494
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.