| Tri-state Healthy | |
|
554 Bloomfield Ave Suite 301 Bloomfield NJ 07003-3307 | |
| (201) 791-7771 | |
| (201) 791-7337 |
| Full Name | Tri-state Healthy |
|---|---|
| Speciality | Family Medicine |
| Location | 554 Bloomfield Ave, Bloomfield, New Jersey |
| Authorized Official Name and Position | Aleksandr Martirosov (OWNER) |
| Authorized Official Contact | 2017917771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Healthy 554 Bloomfield Ave Suite 301 Bloomfield NJ 07003-3307 Ph: (201) 791-7771 | Tri-state Healthy 554 Bloomfield Ave Suite 301 Bloomfield NJ 07003-3307 Ph: (201) 791-7771 |
| NPI Number | 1215363254 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 09/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215363254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
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