Daclan, Maria Teresa S

Daclan, Maria Teresa S is an individual health care provider with primary practice located at 13 N Hartford Ave , Atlantic City NJ 08401-3512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Daclan, Maria Teresa S can be contacted via phone (609) 348-1161.

Contact Information

Primary practice address
13 N Hartford Ave Atlantic City NJ 08401-3512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA068426 New Jersey

Profile Details

NPI number 1447276043
LBN Legal business name Daclan, Maria Teresa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Apr 28th, 2011 - about 13 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 1447276043 NPPES
New Jersey MEDICAID 7880804

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