Individual
MR. ROBERTO TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
56 HAMILTON ST, ST. JOSEPH OUTPATIENT CLINIC, PATERSON, NJ 07505-2003
(973) 754-4750
(973) 754-4777
Mailing address
278 DEGRAW AVE, TEANECK, NJ 07666-3255
(201) 692-8812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NJ00181400
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00181400
NJ
Other
Enumeration date
10/30/2008
Last updated
10/09/2024
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