# THEODORE TOLENTINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518935865
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 13674 | OK | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 1999134622 | MO | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 25MA03754400 | NJ | — |

## Other

- **Enumeration date:** 03/12/2006
- **Last updated:** 07/08/2007