Provider Demographics
NPI:1780322669
Name:ODED, TAMAR (CBS, IBCLC CANDIDATE)
Entity type:Individual
Prefix:
First Name:TAMAR
Middle Name:
Last Name:ODED
Suffix:
Gender:F
Credentials:CBS, IBCLC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3528
Mailing Address - Country:US
Mailing Address - Phone:267-250-0508
Mailing Address - Fax:
Practice Address - Street 1:302 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3528
Practice Address - Country:US
Practice Address - Phone:267-250-0508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-22
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN