NPI 1417030792

Michael Andrew Tavill, MD

Practitioner Pediatric Otolaryngology Physician Shrewsbury, NJ

Practice location

Address: 1131 Broad Street STE 103, Shrewsbury, NJ 07702
Phone: (732) 389-3388
Fax: (732) 389-3389
Mailing address: 660 White Plains Rd Fl 4, Tarrytown, NY 10591-5139

Registered specialties (2)

Pediatric Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 25MA06549000 (NJ)

Other Otolaryngology providers in New Jersey →

Sleep Medicine (Otolaryngology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207YS0012X Licence 25MA06549000 (NJ)

Registry record

NPI: 1417030792
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2006
Record last updated: 1 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.