Tiefenbrunn, Larry J

Tiefenbrunn, Larry J is an individual health care provider with primary practice located at 503 Cranbury Rd , East Brunswick NJ 08816-3612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Tiefenbrunn, Larry J can be contacted via phone (732) 390-8400.

Contact Information

Primary practice address
503 Cranbury Rd East Brunswick NJ 08816-3612
Phone: (732) 390-8400
Fax: (732) 390-8970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA047770 New Jersey

Profile Details

NPI number 1336118025
LBN Legal business name Tiefenbrunn, Larry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 15th, 2017 - about 7 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 1336118025 NPPES
New Jersey Other 0070672 QUALCARE/GHI ID NY
New Jersey Other P2676479 QUALCARE/GHI ID NY
New Jersey Other 202433 QUALCARE/GHI ID NY
New Jersey Other MA047770 QUALCARE/GHI ID NY
New Jersey Other F06243 QUALCARE/GHI ID NY

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