Organization
PIONEER MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD TEHRANIRAD M.D. (CEO)
(703) 944-6639
Entity
Organization
Contact information
Practice address
659 1ST ST, APT 207, HOBOKEN, NJ 07030-8832
(201) 639-4657
Mailing address
659 1ST ST, APT 207, HOBOKEN, NJ 07030-8832
(201) 639-4657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08517400
NJ
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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