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Organization

TENGSON MEDICAL OFFICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER CAMBA TENGSON JR. MD (PHYSICIAN)
(201) 615-3284
Entity
Organization

Contact information

Practice address
32 HINE ST, SUITE 210, PATERSON, NJ 07503-2955
(973) 742-0046
(973) 742-5824
Mailing address
32 HINE ST, SUITE 210, PATERSON, NJ 07503-2955
(973) 742-0046
(973) 742-5824

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA66349
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7805004
NJ
Enumeration date
02/02/2011
Last updated
02/02/2011
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