Pioneer Medical, Llc | |
659 1st St Apt 207 Hoboken NJ 07030-8832 | |
(201) 639-4657 | |
Not Available |
Full Name | Pioneer Medical, Llc |
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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 |
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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 |
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Provider Enumeration Date | 02/02/2016 |
Last Update Date | 02/02/2016 |
Medicare PECOS PAC ID | 1658679857 |
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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 |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356516082 PECOS PAC ID: 6901965367 Enrollment ID: I20090415000442 |
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