Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL ANDREW TAVILL, MD
ActiveMICHAEL ANDREW TAVILL, MD is a Pediatric Otolaryngology healthcare provider located in SHREWSBURY, New Jersey. NPI 1417030792 is currently active in the NPPES registry. Verify at CMS.
Pediatric Otolaryngology · SHREWSBURY, NJ
Registration Details
- NPI Number
- 1417030792
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.83894682598 yrs)
- Last Updated
- Apr 1, 2019
- Licenses
-
25MA06549000 (NJ)25MA06549000 (NJ)
Practice Information
- Address
-
1131 BROAD STREETSTE 103SHREWSBURY, NJ, 07702Browse NJ providers · Browse ZIP 07702
- Phone
- 7323893388
- Fax
- 7323893389
- Primary Specialty
-
Pediatric Otolaryngology
207YP0228X
- Additional Specialty
- Pediatric Otolaryngology
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.