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Individual

DR. MICHAEL CONRAD TANDAYAG BOJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1150 TEANECK RD, SUITE 1, TEANECK, NJ 07666-4825
(201) 833-9000
Mailing address
42 ESTE PL, BLOOMFIELD, NJ 07003-4121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FB5499719
NJ

Other

Enumeration date
04/13/2012
Last updated
11/11/2015
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