Provider Demographics
NPI:1548292071
Name:ORBAN, TIHAMER (MD)
Entity type:Individual
Prefix:
First Name:TIHAMER
Middle Name:
Last Name:ORBAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ASPINWALL AVE
Mailing Address - Street 2:APT.# 1
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6446
Mailing Address - Country:US
Mailing Address - Phone:617-713-3442
Mailing Address - Fax:
Practice Address - Street 1:JOSLIN DIABETES CENTER
Practice Address - Street 2:ONE JOSLIN PLACE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-713-3442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1548932080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology