| Tengson Medical Office, Llc | |
|
32 Hine St Suite 210 Paterson NJ 07503-2955 | |
| (973) 742-0046 | |
| (973) 742-5824 |
| Full Name | Tengson Medical Office, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 32 Hine St, Paterson, New Jersey |
| Authorized Official Name and Position | Roger Camba Tengson (PHYSICIAN) |
| Authorized Official Contact | 2016153284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tengson Medical Office, Llc 32 Hine St Suite 210 Paterson NJ 07503-2955 Ph: (973) 742-0046 | Tengson Medical Office, Llc 32 Hine St Suite 210 Paterson NJ 07503-2955 Ph: (973) 742-0046 |
| NPI Number | 1154627511 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154627511 | NPI | - | NPPES |
| 7805004 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA66349 (New Jersey) | Primary |
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