Doctor Name: | TIFFANY TRIEU |
NPI Number: | 1366883217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O |
License Number: | 194913 |
Business Practice Address: | 7600 River Rd North Bergen, NJ - 070476217 |
Business Phone Number: | 2012207060 |
Business Fax Number: | |
Mailing Address: | 2 2nd St, Apt 2508 JERSEY CITY |
State: | NJ |
Postal Code: | 073023096 |
Phone Number: | 9178864348 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 194913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |