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1750377420
JOHN CHARLES TIETJEN
ALBANY, NY
NPI
1750377420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 210898-1)
Enumeration Date
2005-09-27
Last Update Date
2007-07-08
Business Address
Dr. JOHN CHARLES TIETJEN D.O.
47 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-262-6279
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Mailing Address
Dr. JOHN CHARLES TIETJEN D.O.
47 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-262-6279
Copy
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