# HIGH MOUNTAIN MEDICAL PC

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

## Provider details

- **NPI number:** 1134889975
- **Authorized official:** ALI TABARROKI MD (PHYSICIAN)
- **Authorized official phone:** (312) 852-0912

## Contact information

- **Practice address:** 164 CEDAR AVE, HACKENSACK, NJ 07601-2956
- **Practice address phone:** (312) 852-0912
- **Mailing address:** 164 CEDAR AVE, HACKENSACK, NJ 07601-2956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/21/2021
- **Last updated:** 12/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1952794489 | MEDICINE | NY |