Provider Demographics
NPI:1730257619
Name:BEHMAN, TAMER ABDELMONAM (MD)
Entity type:Individual
Prefix:
First Name:TAMER
Middle Name:ABDELMONAM
Last Name:BEHMAN
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 1:243 PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-3029
Mailing Address - Country:US
Mailing Address - Phone:732-541-7600
Mailing Address - Fax:732-541-1380
Practice Address - Street 1:243 PERSHING AVE
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-3029
Practice Address - Country:US
Practice Address - Phone:732-541-7600
Practice Address - Fax:732-541-1380
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA077722207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0045594Medicaid
084123Medicare ID - Type Unspecified
NJ0045594Medicaid