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Organization
HIGH MOUNTAIN MEDICAL PC
Active
Organization
HIGH MOUNTAIN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI TABARROKI MD (PHYSICIAN)
(312) 852-0912
Entity
Organization
Contact information
Practice address
164 CEDAR AVE, HACKENSACK, NJ 07601-2956
(312) 852-0912
Mailing address
164 CEDAR AVE, HACKENSACK, NJ 07601-2956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952794489
MEDICINE
NY
Enumeration date
12/21/2021
Last updated
12/21/2021
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