| Tierra Medical Llc | |
|
831 Main Ave Passaic NJ 07055-8400 | |
| (862) 249-1333 | |
| (844) 892-1555 |
| Full Name | Tierra Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 831 Main Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Michael Fridman (OWNER) |
| Authorized Official Contact | 2158472929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tierra Medical Llc 831 Main Ave Passaic NJ 07055-8400 Ph: (215) 847-2929 | Tierra Medical Llc 831 Main Ave Passaic NJ 07055-8400 Ph: (862) 249-1333 |
| NPI Number | 1477161172 |
|---|---|
| Provider Enumeration Date | 07/19/2020 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477161172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
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