Tri-State Healthy
NPI #1215363254 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1215363254
- Entity Type
- Organization
- Organization Name
- Tri-State Healthy
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 23, 2013
- Last Updated
- Sep 23, 2013
Practice Location
- Address
- 554 BLOOMFIELD AVE
- Address 2
- SUITE 301
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-3307
- Phone
- (201) 791-7771
Authorized Official
- Name
- ALEKSANDR MARTIROSOV, D.O
- Title
- OWNER
- Phone
- (201) 791-7771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
| Family Medicine |
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