MR. Frederick R. Tiencken, RPA-C
NPI #1396053617 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1396053617
- Entity Type
- Individual
- Name
- MR. Frederick R. Tiencken, RPA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- RPA-C
- Enumeration Date
- Sep 21, 2010
- Last Updated
- Aug 21, 2025
Practice Location
- Address
- 1200 E RIDGEWOOD AVE STE 200
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-3937
- Phone
- (201) 327-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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