Provider Demographics
NPI:1255385845
Name:SLJAPIC, TATJANA N (MD)
Entity type:Individual
Prefix:
First Name:TATJANA
Middle Name:N
Last Name:SLJAPIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:LANCASTER MEDICAL CENTER CARDIOLOGY
Mailing Address - Street 2:2160 STATE ROAD,SUITE 1700
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:223-287-8155
Mailing Address - Fax:717-312-3153
Practice Address - Street 1:35 BEAVERSON BLVD STE 9B
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7862
Practice Address - Country:US
Practice Address - Phone:732-262-4262
Practice Address - Fax:732-262-4317
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA11945300204R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001892270Medicaid
PA001892270Medicaid
PAG59638Medicare UPIN