Individual
CARLOS ALBERTO TEJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 MAIN AVE, SUITE 1-A, PASSAIC, NJ 07055-8513
(973) 773-0334
(973) 773-0336
Mailing address
916-922 MAIN AVE, SUITE 1A, PASSAIC, NJ 07055-8544
(973) 773-0334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
002214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171719
—
NJ
05
—
02624995
—
NY
Enumeration date
05/15/2006
Last updated
09/08/2016
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