Individual
FORTUNATA T TIENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
91 MAIN ST, PATERSON, NJ 07505-1026
(973) 278-3800
Mailing address
91 MAIN ST, PATERSON, NJ 07505-1026
(973) 278-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA32875
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3253309
—
NJ
Enumeration date
03/31/2006
Last updated
08/25/2015
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