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Individual

DR. STEPHEN TIEKU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
416 BELLEVUE AVE, SUITE 405, TRENTON, NJ 08618-4513
(609) 394-2900
Mailing address
416 BELLEVUE AVE, SUITE 405, TRENTON, NJ 08618-4513
(609) 394-2900

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA08044900
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA08044900
NJ

Other

Enumeration date
08/17/2006
Last updated
02/03/2015
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