Andrei Terentiev Md Llc

NPI 1164708319 - Internal Medicine - 207R00000X

NPI Details
NPI 1164708319
Enumeration Date 11/01/2011
Last Updated 11/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ANDREI ANDREI
Position OWNER
Phone (201) 945-4288
Fax
Practice Location
103 RIVER RD
SUITE 101
EDGEWATER NJ, 07020-1016, US
Phone (201) 945-4288
Fax
Business Location
103 RIVER RD
SUITE 101
EDGEWATER NJ, 07020-1016, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 25MA06075500
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According to our database, Andrei Terentiev Md Llc NPI is 1164708319, taxonomy code is 207R00000X and license number is 25MA06075500, license state is located at New Jersey. Andrei Terentiev Md Llc physically located at 103 River Rd, Edgewater NJ, 07020-1016. NPI Number 1033115704 has the healthcare provider type.

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1164708319 NPI number is provided on an as is basis without warranty of any kind. 1164708319 is maintained by the National Plan & Provider Enumeration System. The contents of Andrei Terentiev Md Llc are for informational purposes only.