Organization
DEDICATED PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIANZHONG YANG M.D. (PRIMARY CARE PHYSICIAN)
(973) 771-3863
Entity
Organization
Contact information
Practice address
239 CLAREMONT AVE, MONTCLAIR, NJ 07042-2833
(973) 771-3863
Mailing address
4 CRYSTAL CT APT B2, WOODLAND PARK, NJ 07424-4261
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA09295600
NJ
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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