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Colleen Elizabeth Tautkus, MD
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1205585981

Colleen Elizabeth Tautkus is a Student in an Organized Health Care Education/Training Program based in York, NJ. Colleen Elizabeth Tautkus practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Colleen Elizabeth Tautkus is 1205585981 and holds a License No. (New Jersey).

The current practice location address for Colleen Elizabeth Tautkus is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 551-996-2000.

Location: 30 Prospect Ave, Hackensack, NJ, 17403-3646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205585981
Provider Name
Colleen Elizabeth Tautkus
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
30 Prospect Ave, Hackensack, NJ, 17403-3646
Phone Number
551-996-2000
Fax Number
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2000
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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