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Organization
TRISTATE MOBILE MEDICAL AND DENTAL SERVICES LLC
Active
Organization
TRISTATE MOBILE MEDICAL AND DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK NICOLOFF (OWNER)
(917) 338-7644
Entity
Organization
Contact information
Practice address
23 REYNOLDS AVE, PARSIPPANY, NJ 07054-3323
(212) 388-5953
Mailing address
23 REYNOLDS AVE, PARSIPPANY, NJ 07054-3323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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