Individual
RICHARD N TIEDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
1100 RAHWAY RD, SCOTCH PLAINS, NJ 07076-3412
(908) 625-8036
(908) 754-5904
Mailing address
1100 RAHWAY RD, SCOTCH PLAINS, NJ 07076-3412
(908) 625-8036
(908) 754-5904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA03965900
NJ
208D00000X
General Practice Physician
Primary
MA2503965900
NJ
Other
Enumeration date
08/24/2005
Last updated
02/09/2017
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