Organization
TRISTATE MULTISPECIALTY MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN WEISSMAN MD (OWNER)
(973) 420-0239
Entity
Organization
Contact information
Practice address
126 STATE ST FL 1, HACKENSACK, NJ 07601-5448
(973) 420-0239
Mailing address
126 STATE ST FL 1, HACKENSACK, NJ 07601-5448
(973) 420-0239
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA06841300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06841300
MEDICAL DOCTOR
NJ
Enumeration date
04/26/2018
Last updated
04/26/2018
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