Douglas L Teich in Boston - Diagnostic Radiology

Douglas L Teich - NPI 1205827789

Douglas L Teich is a Diagnostic Radiology in Boston, Massachusetts. Douglas L Teich practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Douglas L Teich is 1205827789. The last update date is 2011-09-13.

Douglas L Teich's current location address is 330 Brookline Avenue, Boston, Massachusetts. You can contact this provider via phone number 6177542009 and fax number 6177542004. The mailing address for Douglas L Teich is 330 Brookline Avenue, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas L Teich
Address 330 Brookline Avenue, Boston, Massachusetts
Phone Number 6177542009
Fax Number 6177542004
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1205827789
Provider Enumeration Date 2005-11-02
Last Updated Date 2011-09-13

Provider Mailing Address Detail

Address 330 Brookline Avenue
City Boston
State Massachusetts (MA)
Post Code 22155400
Phone Number 6177542009
Fax Number 6177542004

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 55316
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3010287 MA --

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FAQs about Douglas L Teich

What is the Douglas L Teich's unique identification number?

The Douglas L Teich has been assigned the NPI (National Provider Identifier) Number 1205827789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Douglas L Teich is located?

The Douglas L Teich is situated at the following address: 330 Brookline Avenue, Boston, MA, 22155400.

What is Douglas L Teich'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 Douglas L Teich is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did the Douglas L Teich receive the assignment of its 1205827789 from the Centers for Medicare & Medicaid Services?

The Douglas L Teich was issued its 1205827789 by the Centers for Medicare & Medicaid Services on 2005-11-02.

When was the information pertaining to Douglas L Teich most recently updated or revised?

The details related to Douglas L Teich, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-13.

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