Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tianna I Fredericks, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922800135

Tianna I Fredericks, MD is a Student in an Organized Health Care Education/Training Program in West Orange, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9 Cornell St
West Orange, NJ 07052-2509
Phone: (973) 900-3597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1922800135
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

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