MOBILE MEDICARE
Osteopathic Medicine at Walnut Ave, Clark, NJ

License number
New Jersey MB27483
Category
Osteopathic Medicine
Type
Geriatric Medicine
License number
New Jersey MB53933
Category
Osteopathic Medicine
Type
Geriatric Medicine
License number
New Jersey MB71509
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MISS COLLEEN ELIZABETH TIEDEMANN
Title: OFFICE MANAGER
Phone: (732) 388-7300
Address
Address
67 Walnut Ave, Clark, NJ 07066
National Provider ID: 1457460594
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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