# ALLAN D. TIEDRICH, M.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053642538
- **Authorized official:** ALLAN DON TIEDRICH (DR.TIEDRICH)
- **Authorized official phone:** (908) 769-7999

## Contact information

- **Practice address:** 1304 SOUTH AVEUNE, PLAINFIELD, NJ 07062
- **Practice address phone:** (908) 769-7999
- **Practice address fax:** (908) 769-5816
- **Mailing address:** 1304 SOUTH AVE, PLAINFIELD, NJ 07062-1937
- **Mailing address phone:** (908) 769-7999
- **Mailing address fax:** (908) 769-5816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2010
- **Last updated:** 07/23/2024