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Organization
TRI STATE MEDICAL MANAGEMENT
Active
Organization
TRI STATE MEDICAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J. DANIELS MD (PARTNER)
(732) 598-4226
Entity
Organization
Contact information
Practice address
1636 PARKER AVE, 3RD FLOOR, FORT LEE, NJ 07024
(973) 630-6666
(973) 692-1234
Mailing address
1636 PARKER AVE, 3RD FLOOR, FORT LEE, NJ 07024
(973) 630-6666
(973) 692-1234
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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