Dana Marie Teodoro

NPI 1124336979 - Physician Assistant - 363AM0700X

NPI Details
NPI 1124336979
Gender Female
Enumeration Date 09/15/2010
Last Updated 11/11/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
20 YORK ST CB 2041
NORTHEAST MEDICAL GROUP
NEW HAVEN CT, 06510, US
Phone (203) 688-4748
Fax (203) 688-4740
Business Location
20 YORK ST CB 2041
NORTHEAST MEDICAL GROUP
NEW HAVEN CT, 06510, US
Phone (203) 688-4748
Fax (203) 688-4740
Toxanomy
Taxonomy Code 363AM0700X
License State Connecticut
License Number 2516
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According to our database, Dana Marie Teodoro NPI is 1124336979, taxonomy code is 363AM0700X and license number is 2516, license state is located at Connecticut. Dana Marie Teodoro physically located at 20 York St Cb 2041, New Haven CT, 06510. NPI Number Dana Marie Teodoro has the Individual type.

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1124336979 NPI number is provided on an as is basis without warranty of any kind. 1124336979 is maintained by the National Plan & Provider Enumeration System. The contents of Dana Marie Teodoro are for informational purposes only.