Tatiana Gandrabura (NPI# 1861602740, PAC ID# 4789836982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1861602740 |
| PAC ID by PECOS | 4789836982 |
| Professional Enrollment ID | I20121217000226 |
| Full Name | Tatiana Gandrabura |
| Organization Legal Name | VIRTUA MEDICAL GROUP, PA |
| Address |
175 Madison Ave Mount Holly NJ 08060-2038 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 9830222397 |
| Number of Group Practice Members | 539 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 3242 Route 206, Bldg A, Bordentown, NJ 08505-4517 | 6092984340 | VIRTUA MEDICAL GROUP, PA |
| 175 Madison Ave, Mount Holly, NJ 08060-2038 | VIRTUA MEDICAL GROUP, PA |
| Organization Legal Name | VIRTUA MEDICAL GROUP, PA |
| Physicians | 519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Simenhoff | Family Medicine | Virtua Medical Group, Pa | 2225 E Evesham Rd, Suite 101a, Voorhees, NJ 08043-1557 |
| Rashida Mengi | Family Medicine | Virtua Medical Group, Pa | 555 High St, Suite 16a, Mount Holly, NJ 08060-1084 |
| Cheryl Walters | Clinical Social Worker | Virtua Medical Group, Pa | 315 Route 70 E, Vitua Express Urgent Care Cherry Hill, Cherry Hill, NJ 08034-2408 |
| Nyssa Entrekin | Registered Dietitian Or Nutrition Professional | Virtua Medical Group, Pa | 2309 Evesham Rd, Virtua Cardiology Group Suite 201 202, Voorhees, NJ 08043-1559 |
| Jessica Denise Moore | Registered Dietitian Or Nutrition Professional | Virtua Medical Group, Pa | 401 Young Ave, Suite 180, Moorestown, NJ 08057-3139 |
| Eric Requa | Family Medicine | Virtua Medical Group, Pa | 158 Route 73, Suite B, Voorhees, NJ 08043-9539 |
| Rachel Kramer | Obstetrics/gynecology | Virtua Medical Group, Pa | 3242 Route 206, Bldg A, Bordentown, NJ 08505-4517 |
| Alexis Malloy | Nurse Practitioner | Virtua Medical Group, Pa | 1613 Rte, 38 Virtua Fam Med Mt Holly, Lumberton, NJ 08048-2921 |
| Kathryn Farrell | Nurse Practitioner | Virtua Medical Group, Pa | 239 Hurffville-crosskeys Rd, 160 Virtua Express Immed Care, Sewell, NJ 08080-4005 |
| Rina Zuniga | Internal Medicine | Virtua Medical Group, Pa | 141 Route 70 E, Suite E, Marlton, NJ 08053-1855 |
| Street Address |
175 MADISON AVE |
| City | MOUNT HOLLY |
| State | NJ |
| Zip | 08060-2038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Savarese | Endocrinology | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Kelly Anne Harchut | Physician Assistant | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Sergey Moldavskiy | Anesthesiology | Morris Anesthesia Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Andrew Ecker | Nurse Practitioner | Emergency Physician Services of New Jersey, Professional Association | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Maurice J Cairoli | Hematology/oncology | Regional Cancer Care Associates LLC | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Anita Bhamidipati | Emergency Medicine | Emergency Physician Services of New Jersey, Professional Association | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Stephen Wallace | Hematology/oncology | Regional Cancer Care Associates LLC | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Xiaowen Zhang | Internal Medicine | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Neil M Campbell | Obstetrics/gynecology | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Michelle C Shen | General Surgery | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Grencavich | Certified Nurse Midwife (cnm) | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Oumar Kuzbari | Obstetrics/gynecology | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Robert A Skaf | Endocrinology | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Gary S Packin | Endocrinology | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Jesleen Lamothe | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| Karen Dougherty | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| Sejal K Patel | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| Vittoria Mello | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| George E Achebe | Internal Medicine | 1846 Burlington Mount Holly Rd, Mount Holly, NJ 08060-1068 | |
| Scott W Mahoney | Chiropractic | 1852 Burlington Mount Holly Rd, Westampton, NJ 08060-1070 | |
| Find all physicians in zip 08060 | |||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | MOUNT HOLLY + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Tatiana Gandrabura.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.