Provider Demographics
NPI:1447770417
Name:TENDLER, BARBARA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:TENDLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 RIVER RD APT 5101
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4085
Mailing Address - Country:US
Mailing Address - Phone:203-984-2263
Mailing Address - Fax:
Practice Address - Street 1:25 RIVER RD APT 5101
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4085
Practice Address - Country:US
Practice Address - Phone:203-984-2263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT26283207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology