FREDERICK R. TIENCKEN

RIDGEWOOD, NJ
NPI1396053617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  014271)
Enumeration Date2010-09-21
Last Update Date2014-05-09
Business Address
Mr. FREDERICK R. TIENCKEN RPA-C
1200 E. RIDGEWOOD AVE. SUITE 200
RIDGEWOOD, NJ 07450
Phone number: 201-327-8600
Mailing Address
Mr. FREDERICK R. TIENCKEN RPA-C
1200 E. RIDGEWOOD AVE. SUITE 200
RIDGEWOOD, NJ 07450
Phone number: 201-327-8600
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