Organization
BIRCH TREE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BIRCH MD (SOLE OWNER)
(973) 616-7117
Entity
Organization
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(973) 616-7117
(973) 616-7338
Mailing address
PO BOX 140, CRESSKILL, NJ 07626-0140
(973) 616-7117
(973) 616-7338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05917200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
09/19/2006
Last updated
08/01/2008
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