Provider Demographics
NPI:1891424818
Name:SIMPSON, TAMARA (MBBS)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:MS
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:DZUDOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
Mailing Address - Street 2:BRONX
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-918-5000
Mailing Address - Fax:
Practice Address - Street 1:NORTH CENTRAL BRONX HOSPITAL
Practice Address - Street 2:3424 KOSSUTH AVE, BRONX
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-519-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2023-03-21
Deactivation Date:2023-03-03
Deactivation Code:
Reactivation Date:2023-03-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program