Provider Demographics
NPI:1770978769
Name:LINDENMUTH, TANYA RENEE (DO)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:RENEE
Last Name:LINDENMUTH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:968 KINGS HWY
Mailing Address - Street 2:APT.H10
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08086-9333
Mailing Address - Country:US
Mailing Address - Phone:585-259-9354
Mailing Address - Fax:
Practice Address - Street 1:NMRTC OKINAWA PSC 482
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96362
Practice Address - Country:US
Practice Address - Phone:315-646-9643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102204641207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology