Impeduglia, Theresa Marie
Impeduglia, Theresa Marie is an individual health care provider with primary practice located at 83 Summit Ave , Hackensack NJ 07601-1262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Impeduglia, Theresa Marie can be contacted via phone (201) 646-0010.Contact Information
Primary practice address
83 Summit Ave
Hackensack NJ 07601-1262
Phone: (201) 646-0010
Fax: (201) 646-0600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 195134 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MA72668 | New Jersey |
Profile Details
| NPI number | 1336189786 |
|---|---|
| LBN Legal business name | Impeduglia, Theresa Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Sep 28th, 2017 - 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 | 1336189786 | NPPES |
| New York | MEDICAID | 03817627 |
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