Edwin P Teehan Md Pc in Clifton - Specialist

Edwin P Teehan Md Pc - NPI 1285680611

Edwin P Teehan Md Pc is a Specialist in Clifton, New Jersey. Edwin P Teehan Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edwin P Teehan Md Pc is 1285680611. The last update date is 2011-10-19.

Edwin P Teehan Md Pc's current location address is Po Box 4015, Clifton, New Jersey. You can contact this provider via phone number 9737208333 and fax number 9737200408. The mailing address for Edwin P Teehan Md Pc is Po Box 4015, Clifton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Edwin P Teehan Md Pc
Address Po Box 4015, Clifton, New Jersey
Phone Number 9737208333
Fax Number 9737200408
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Teehan P Edwin
Credentials MD
Telephone Number 9737208333

NPI Number Detail

NPI Number 1285680611
Provider Enumeration Date 2006-05-26
Last Updated Date 2011-10-19

Provider Mailing Address Detail

Address Po Box 4015
City Clifton
State New Jersey (NJ)
Post Code 70120415
Phone Number 9737208333
Fax Number 9737200408

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA56236
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6947204 NJ --

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FAQs about Edwin P Teehan Md Pc

What is the Edwin P Teehan Md Pc's 1285680611?

The Edwin P Teehan Md Pc's NPI (National Provider Identifier) Number is 1285680611. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Edwin P Teehan Md Pc is located?

The Edwin P Teehan Md Pc is situated at the following address: Po Box 4015, Clifton, NJ, 70120415.

What is Edwin P Teehan Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Edwin P Teehan Md Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285680611 to Edwin P Teehan Md Pc?

The Centers for Medicare & Medicaid Services originally issued the 1285680611 to Edwin P Teehan Md Pc on 2006-05-26.

As of what date were the details related to Edwin P Teehan Md Pc most recently updated or revised?

The information pertaining to Edwin P Teehan Md Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-19.

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