| Tri-state Healing Initiative Llc | |
|
200 Freeway Dr E East Orange NJ 07018-3809 | |
| (973) 370-4000 | |
| Not Available |
| Full Name | Tri-state Healing Initiative Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Freeway Dr E, East Orange, New Jersey |
| Authorized Official Name and Position | Bryce Ratliff (OWNER) |
| Authorized Official Contact | 8456623848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Healing Initiative Llc 155 Willowbrook Blvd Ste 1104274 Wayne NJ 07470-7032 Ph: () - | Tri-state Healing Initiative Llc 200 Freeway Dr E East Orange NJ 07018-3809 Ph: (973) 370-4000 |
| NPI Number | 1841984036 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841984036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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