Tri-State Health And Wellness Medical Care Center Pc in Fair Lawn - Health Service
Tri-State Health And Wellness Medical Care Center Pc - NPI 1942457023
Tri-State Health And Wellness Medical Care Center Pc is a Health Service in Fair Lawn, New Jersey. Tri-State Health And Wellness Medical Care Center Pc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Tri-State Health And Wellness Medical Care Center Pc is 1942457023. The last update date is 2013-10-14.
Tri-State Health And Wellness Medical Care Center Pc's current location address is 31-00 Broadway, Fair Lawn, New Jersey. You can contact this provider via phone number 2017917771 and fax number 2017917337. The mailing address for Tri-State Health And Wellness Medical Care Center Pc is 31-00 Broadway, Fair Lawn, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-State Health And Wellness Medical Care Center Pc |
|---|---|
| Address | 31-00 Broadway, Fair Lawn, New Jersey |
| Phone Number | 2017917771 |
| Fax Number | 2017917337 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FAMILY PRA |
|---|---|
| Authorized Official Name | Martirosov Aleksandr |
| Credentials | DO |
| Telephone Number | 2017917771 |
NPI Number Detail
| NPI Number | 1942457023 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2013-10-14 |
Provider Mailing Address Detail
| Address | 31-00 Broadway |
|---|---|
| City | Fair Lawn |
| State | New Jersey (NJ) |
| Post Code | 74103963 |
| Phone Number | 2017917771 |
| Fax Number | 2017917337 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tri-State Health And Wellness Medical Care Center Pc by the Centers for Medicare & Medicaid Services?
The Tri-State Health And Wellness Medical Care Center Pc has been issued the NPI (National Provider Identifier) 1942457023, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tri-State Health And Wellness Medical Care Center Pc?
The Tri-State Health And Wellness Medical Care Center Pc is situated at 31-00 Broadway, in the city of Fair Lawn, state of NJ, with the zip code 74103963.
What is the area of specialization for Tri-State Health And Wellness Medical Care Center Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tri-State Health And Wellness Medical Care Center Pc is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942457023 to Tri-State Health And Wellness Medical Care Center Pc?
The Centers for Medicare & Medicaid Services originally issued the 1942457023 to Tri-State Health And Wellness Medical Care Center Pc on 2008-08-20.
When was the information regarding Tri-State Health And Wellness Medical Care Center Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tri-State Health And Wellness Medical Care Center Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-10-14.
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