Provider Demographics
NPI:1225853997
Name:TADROS, MARIAM
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:
Last Name:TADROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1811
Mailing Address - Country:US
Mailing Address - Phone:347-552-4306
Mailing Address - Fax:
Practice Address - Street 1:871 ANDOVER RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1811
Practice Address - Country:US
Practice Address - Phone:347-552-4306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter