Tengson, Roger C

Tengson, Roger C is an individual health care provider with primary practice located at 32 Hine St Ste 210 , Paterson NJ 07503-2955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tengson, Roger C can be contacted via phone (973) 742-0046.

Contact Information

Primary practice address
32 Hine St Ste 210 Paterson NJ 07503-2955
Fax: (973) 742-5824
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06634900 New Jersey

Profile Details

NPI number 1326094921
LBN Legal business name Tengson, Roger C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326094921 NPPES
New Jersey MEDICAID 7805004

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