Individual
JOHN FREDERICK TABACHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
563 WESTFIELD AVE, WESTFIELD, NJ 07090-3300
(908) 232-5858
(908) 232-0439
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 232-5858
(908) 232-0439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA37772
NJ
Other
Enumeration date
06/20/2005
Last updated
07/08/2019
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