Individual
ROGER C TENGSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 HINE ST STE 210, PATERSON, NJ 07503-2955
(973) 742-0046
(973) 742-5824
Mailing address
32 HINE ST STE 210, PATERSON, NJ 07503-2955
(973) 742-0046
(973) 742-5824
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06634900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805004
—
NJ
Enumeration date
05/25/2006
Last updated
09/18/2012
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