Individual
CARLOS ALBERTO TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 ARCADIAN WAY, SUITE 108, PARAMUS, NJ 07652-1245
(201) 977-2889
(201) 977-2890
Mailing address
17 ARCADIAN WAY, SUITE 108, PARAMUS, NJ 07652-1245
(201) 977-2889
(201) 977-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00410900
NJ
Other
Enumeration date
09/28/2016
Last updated
08/12/2019
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