| Doctor Name: | TAMARA J KANE |
| NPI Number: | 1730327651 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 25MP00213700 |
| Business Practice Address: | 63 Lakeview Dr N Suite 202 Gibbsboro, NJ - 080261026 |
| Business Phone Number: | 8564356000 |
| Business Fax Number: | 8567821667 |
| Mailing Address: | 63 Lakeview Dr N, Suite 202 GIBBSBORO |
| State: | NJ |
| Postal Code: | 080261026 |
| Phone Number: | 8564356000 |
| Fax Number: | 8567821667 |
| NPI Enumeration Date: | 01/30/2009 |
| NPI Last Update Date: | 09/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00213700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |