Organization
TRI-STATE HEALTH AND WELLNESS MEDICAL CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR MARTIROSOV DO (FAMILY PRACTICE)
(201) 791-7771
Entity
Organization
Contact information
Practice address
31-00 BROADWAY, 1ST FL., FAIR LAWN, NJ 07410-3963
(201) 791-7771
(201) 791-7337
Mailing address
31-00 BROADWAY, 1ST FL., FAIR LAWN, NJ 07410-3963
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
10/14/2013
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