Theodore J Southgate MD

  • NPI 1730156217
According to our database, the NPI number for Theodore J Southgate MD is 1730156217 and activated since 18 years ago. Theodore J Southgate MD is an individual provider who specializes in Cardiovascular Disease, and the primary practice location is 201 Lyons Ave, Newark, NJ 07112. You can also contact Theodore J Southgate MD via telephone number is (973) 926-7749. Provider NPI information was last updated on 07/08/2007.

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Overview of Theodore J Southgate MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/03/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 207RC0000X
  • Specialty: Cardiovascular Disease
  • License Number: 25MA05005700
  • License State: NJ

Provider Mailing Address

  • Address: 201 Lyons Ave
    Suite G5
    Newark, NJ 07112
  • Phone: 973-926-7749
  • Fax: 973-923-4683

Provider Practice Location

  • Address: 201 Lyons Ave
    Suite G5
    Newark, NJ 07112
  • Phone: 973-926-7749
  • Fax: 973-923-4683

Scope of Practice

  • Taxonomy Code: 207RC0000X
  • Specialty: Cardiovascular Disease
  • License Number: 25MA050057
  • License State: NJ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 7459106
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NJ
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Theodore J Southgate MD?
  • A: The npi number for Theodore J Southgate MD is 1730156217.
  • Q: What are Theodore J Southgate MD's specialties?
  • A: Theodore J Southgate MD's specialties are Cardiovascular Disease and different specialities.
  • Q: What is the medical license for Theodore J Southgate MD?
  • A: The medical license number for Theodore J Southgate MD is 25MA05005700 and issued in NJ in USA.
  • Q: Where is Theodore J Southgate MD practice location?
  • A: Theodore J Southgate MD is practicing at 201 Lyons Ave, Newark, NJ 07112.
  • Q: How to contact Theodore J Southgate MD?
  • A: You can contact Theodore J Southgate MD via 973-926-7749.