Provider Demographics
NPI:1508285123
Name:HAGOEL, TAMARA JANE (DO)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:JANE
Last Name:HAGOEL
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-6720
Practice Address - Fax:973-401-2410
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2022-01-12
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Provider Licenses
StateLicense IDTaxonomies
NY288805-012080P0207X
NJ25MB109958002080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology