Corcoran, Teresa R

Corcoran, Teresa R is an individual health care provider with primary practice located at 710 Main St , Harwich Port MA 02646-1931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Corcoran, Teresa R can be contacted via phone (508) 432-1400.

Contact Information

Primary practice address
710 Main St Harwich Port MA 02646-1931
Phone: (508) 432-1400
Fax: (508) 430-2333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77702 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77702 Massachusetts

Profile Details

NPI number 1093880411
LBN Legal business name Corcoran, Teresa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Dec 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093880411 NPPES
Massachusetts Other J14240 BCBS MA
Massachusetts MEDICAID 3117791 BCBS MA

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