| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATHAN BRADLEY TABER | 1942998802 | 2023-05-06 |
Nathan Bradley Taber is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942998802. Registration indicates Nathan Bradley Taber is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Nathan Bradley Taber MD |
| Practice Office Address | 111 E 210TH ST BRONX, NY US |
| Practice Office Telephone | 7189204383 |
| Mailing Address | 111 E 210TH ST BRONX, NY 104672401 US |
| Business Telephone | 7189204321 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |