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Individual

MICHAEL TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
270 HIGHWAY 35, RED BANK, NJ 07701-5920
(732) 842-2000
Mailing address
270 HIGHWAY 35, RED BANK, NJ 07701-5920

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NR12573900
NJ

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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