Provider Demographics
NPI:1538452347
Name:HADAR, TAL (MD)
Entity type:Individual
Prefix:
First Name:TAL
Middle Name:
Last Name:HADAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOUSE NO. 119
Mailing Address - Street 2:
Mailing Address - City:GIVAT YESHA'AYAHU
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:99825
Mailing Address - Country:IL
Mailing Address - Phone:97250-894-6485
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:BREAST ONCOLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-3536
Practice Address - Fax:202-877-3699
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program