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Dr. Tyler Soobryan, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1962197566

Tyler Soobryan is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Tyler Soobryan practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Tyler Soobryan is 1962197566 and holds a License No. (New Jersey).

The current practice location address for Tyler Soobryan is 150 Bergen St, Newark, NJ and can be reached out via phone at 463-673-2445.

Location: 150 Bergen St, Newark, NJ, 07103-2757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962197566
Provider Name
Tyler Soobryan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Newark, NJ, 07103-2757
Phone Number
463-673-2445
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
463-673-2445
Fax Number
person
Provider Business Mailing Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
463-673-2445
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.
()
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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