Provider Demographics
NPI:1609434273
Name:HADAR, TAMAR
Entity Type:Individual
Prefix:MRS
First Name:TAMAR
Middle Name:
Last Name:HADAR
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TAMAR
Other - Middle Name:
Other - Last Name:EISENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CBMT
Mailing Address - Street 1:9 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1234
Mailing Address - Country:US
Mailing Address - Phone:857-756-3125
Mailing Address - Fax:
Practice Address - Street 1:9 HAZEL ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1234
Practice Address - Country:US
Practice Address - Phone:857-756-3125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist