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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093880411 | NPPES |
| Massachusetts | Other | J14240 | BCBS MA |
| Massachusetts | MEDICAID | 3117791 | BCBS MA |
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