KENNETH TIETJEN

BROOKLYN, NY
NPI1245765817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: NY  307219)
Enumeration Date2017-04-20
Last Update Date2021-08-25
Business Address
KENNETH TIETJEN M.D.
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 718-616-3205
Mailing Address
KENNETH TIETJEN M.D.
2601 OCEAN PKWY RM 901
BROOKLYN, NY 11235-7745
Phone number: 718-616-3205
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