Individual provider · NPI-1
Dr. Tania Afonso, D.O.
Emergency Medicine · Livingston, NJ
NPI number1417210394
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1417210394
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tania Afonso
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2012
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MB09251300 | NJ | Yes |
| 207P00000X | Emergency Medicine | 265446-1 | NY |
Practice location
75 E Northfield RdLivingston, NJ 07039-4532
Phone 973-436-1500
Mailing address
1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Other practice locations
111 Central Ave
Newark, NJ 07102-1909
Newark, NJ 07102-1909
Phone 908-670-5614
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