Provider Demographics
NPI:1326580085
Name:TABOR, LINDA (APN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:TABOR
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARDIOLOGY ASSOCIATES OF SUSSEX COUNTY
Mailing Address - Street 2:222 HIGH ST. SUITE 205
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860
Mailing Address - Country:US
Mailing Address - Phone:973-579-2100
Mailing Address - Fax:973-579-6638
Practice Address - Street 1:CARDIOLOGY ASSOCIATES OF SUSSEX COUNTY
Practice Address - Street 2:222 HIGH ST. SUITE 205
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860
Practice Address - Country:US
Practice Address - Phone:973-579-2100
Practice Address - Fax:973-579-6638
Is Sole Proprietor?:No
Enumeration Date:2016-11-12
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00684200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily