Larry J Tiefenbrunn
M.D. | Pediatric Adolescent Medicine | Male
Larry J Tiefenbrunn, M.D. is a East Brunswick, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Larry J Tiefenbrunn is
503 Cranbury Rd, East Brunswick, New Jersey - 08816-3612. He can be contacted on phone at
732-390-8400 and fax number 732-390-8970.
Larry J Tiefenbrunn is a sole proprietor of his business.
NPI number (Unique professional ID) for Larry J Tiefenbrunn is
1336118025 which was assigned by NPPES on 15 Mar, 2006 and it was last updated on 15 Mar, 2017.
Larry J Tiefenbrunn license number is
MA047770 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Larry J Tiefenbrunn specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Larry J Tiefenbrunn basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Larry J Tiefenbrunn |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Larry J Tiefenbrunn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 503 Cranbury Rd
East Brunswick, NJ, 08816-3612
United States |
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| Phone Number : | 732-390-8400 |
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| Fax Number : | 732-390-8970 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336118025 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Mar, 2006 |
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| Last Updated On : | 15 Mar, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry J Tiefenbrunn are as mentioned. Primary taxonomy code for Larry J Tiefenbrunn, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA047770 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Larry J Tiefenbrunn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 202433 | Other | NJ | UNITED ID |
| MA047770 | Other | NJ | HIP/PHCS |
| 0070672 | Other | NJ | QUALCARE/GHI ID NY |
| 222694202 | Other | NJ | TIN |
| F06243 | Other | NJ | HEALTHNET ID |
| P2676479 | Other | NJ | OXFORD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 503 Cranbury Rd
East Brunswick, NJ, 08816-3612
United States |
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| Phone Number : | 732-390-8400 |
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| Fax Number : | 732-390-8970 |
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Business Location:
Patients can refer following map for directions to
Larry J Tiefenbrunn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.