Individual provider · Type 1 NPI

Victoria Tiedemann, DO

Student in an Organized Health Care Education/Training Program · Stratford, NJ

NPI number 1114542289 Active

Practice location

42 E Laurel Rd Ste 2600
Stratford, NJ 08084-1354

Call (856) 566-6875 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114542289

Victoria Tiedemann, DO's National Provider Identifier is 1114542289, issued on Jun 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stratford, NJ. The record was last updated on Jun 14, 2020.