Provider Demographics
NPI:1912202748
Name:EARNEST, TAMAR D (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:D
Last Name:EARNEST
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 1:2620 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6231
Mailing Address - Country:US
Mailing Address - Phone:610-432-5661
Mailing Address - Fax:610-432-7477
Practice Address - Street 1:2620 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6231
Practice Address - Country:US
Practice Address - Phone:610-432-5661
Practice Address - Fax:610-432-7477
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011391E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery