Tri-state Healthy

NPI 1215363254 - Family Medicine - 207QA0401X

NPI Details
NPI 1215363254
Enumeration Date 09/23/2013
Last Updated 09/23/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ALEKSANDR ALEKSANDR
Position OWNER
Phone (201) 791-7771
Fax (201) 791-7337
Practice Location
554 BLOOMFIELD AVE
SUITE 301
BLOOMFIELD NJ, 07003-3307, US
Phone (201) 791-7771
Fax (201) 791-7337
Business Location
554 BLOOMFIELD AVE
SUITE 301
BLOOMFIELD NJ, 07003-3307, US
Phone (201) 791-7771
Fax (201) 791-7337
Toxanomy
Taxonomy Code 207QA0401X
License State
License Number
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According to our database, Tri-state Healthy NPI is 1215363254, taxonomy code is 207QA0401X Tri-state Healthy physically located at 554 Bloomfield Ave, Bloomfield NJ, 07003-3307. NPI Number 1033115704 has the healthcare provider type.

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1215363254 NPI number is provided on an as is basis without warranty of any kind. 1215363254 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-state Healthy are for informational purposes only.