# DR TEOFILO A DOUHAJRE JR PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376685743
- **Authorized official:** DR. TEOFILO A DAUHAJRE JR. MD (PRESIDENT)
- **Authorized official phone:** (201) 868-1200

## Contact information

- **Practice address:** 7000 BOULEVARD EAST, GUTTENBERG, NJ 07093
- **Practice address phone:** (201) 868-1200
- **Practice address fax:** (201) 868-0064
- **Mailing address:** 7000 BOULEVARD EAST, GUTTENBERG, NJ 07093
- **Mailing address phone:** (201) 868-1200
- **Mailing address fax:** (201) 868-0064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MA41682 | NJ | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00888303 | — | NJ |
| 01 | — | 4418306 | AETNA | NJ |
| 01 | — | 564G210 | EMPIRE BC | NJ |