Santiago, Teodoro
Santiago, Teodoro is an individual health care provider with primary practice located at 125 Paterson St Clinical Academic Building - Suite 5200B, New Brunswick NJ 08901-1962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Santiago, Teodoro can be contacted via phone (732) 235-6511.Contact Information
Primary practice address
125 Paterson St Clinical Academic Building - Suite 5200B
New Brunswick NJ 08901-1962
Phone: (732) 235-6511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA27029 | New Jersey |
Profile Details
| NPI number | 1972676534 |
|---|---|
| LBN Legal business name | Santiago, Teodoro |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Feb 4th, 2008 - about 16 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 | 1972676534 | NPPES |
| New Jersey | MEDICAID | 1786300 |
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