| Tristate Medical Associates, Pc | |
|
642 Broad St 2nd Floor, Suite 9 Clifton NJ 07013-1615 | |
| (973) 614-9500 | |
| (973) 614-8200 |
| Full Name | Tristate Medical Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 642 Broad St, Clifton, New Jersey |
| Authorized Official Name and Position | Marina Belozersky (OFFICE MANAGER) |
| Authorized Official Contact | 9736149500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Medical Associates, Pc Po Box 163 Roseland NJ 07068-0163 Ph: (973) 614-9500 | Tristate Medical Associates, Pc 642 Broad St 2nd Floor, Suite 9 Clifton NJ 07013-1615 Ph: (973) 614-9500 |
| NPI Number | 1891880019 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891880019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA072674 (New Jersey) | Primary |
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