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Tievsky Podiatry, Llc
Foot & Ankle Surgery Podiatrist in Fair Lawn, New Jersey
NPI 1518465020

Tievsky Podiatry, Llc is a Foot & Ankle Surgery Podiatrist based in Fair Lawn, NJ and is specialized in Foot & Ankle Surgery. Tievsky Podiatry, Llc practices in Fair Lawn, NJ. The NPI Number for Tievsky Podiatry, Llc is 1518465020 and holds a License No. 25MD00321200 (New Jersey).

The current practice location address for Tievsky Podiatry, Llc is 15-01 Broadway Ste 10B, Fair Lawn, NJ and can be reached out via phone at 833-439-3668 and via fax at 201-537-6910.

Location: 15-01 Broadway Ste 10B, Fair Lawn, NJ, 07410-6006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518465020
Provider Name
Tievsky Podiatry, Llc
Credential
Provider Entity Type
Organization
Address
15-01 Broadway Ste 10B, Fair Lawn, NJ, 07410-6006
Phone Number
833-439-3668
Fax Number
201-537-6910
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15-01 Broadway Ste 10B
City
Fair Lawn
State
New Jersey
Zip
07410-6006
Phone Number
833-439-3668
Fax Number
201-537-6910
person
Provider Business Mailing Address Details
Address
15-01 Broadway Ste 10B
City
Fair Lawn
State
New Jersey
Zip
07410-6006
Phone Number
833-439-3668
Fax Number
201-537-6910
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
25MD00321200 (New Jersey)
Definition
Definition to come...
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