| Pioneer Medical, Llc | |
|
659 1st St Apt 207 Hoboken NJ 07030-8832 | |
| (201) 639-4657 | |
| Not Available |
| Full Name | Pioneer Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 659 1st St, Hoboken, New Jersey |
| Authorized Official Name and Position | Mohammad Tehranirad (CEO) |
| Authorized Official Contact | 7039446639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Medical, Llc 659 1st St Apt 207 Hoboken NJ 07030-8832 Ph: (201) 639-4657 | Pioneer Medical, Llc 659 1st St Apt 207 Hoboken NJ 07030-8832 Ph: (201) 639-4657 |
| NPI Number | 1588022875 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Medicare PECOS PAC ID | 1658679857 |
|---|---|
| Medicare Enrollment ID | O20160420001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588022875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08517400 (New Jersey) | Primary |
| Provider Name | Mohammad Tehranirad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356516082 PECOS PAC ID: 6901965367 Enrollment ID: I20090415000442 |
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