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Individual
THEODORE A FEINTUCH
Active
Individual
THEODORE A FEINTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
029275
GA
207ZP0101X
Anatomic Pathology Physician
Primary
MD005138
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00544717A
—
GA
01
—
100011601
PHP OF TN
—
01
—
1140003
UNITED HEALTHCARE
—
01
—
220020930
RAILROAD MEDICARE
—
01
—
264946
BLACK LUNG
—
01
—
3031326
BC/BS OF TN
—
05
—
30403371
—
TN
05
—
3383335
—
TN
05
—
89063XE
—
NC
01
—
PAYSUB
TRIGON
—
01
—
TN0101
JOHN DEERE HEALTH
—
Enumeration date
10/06/2005
Last updated
10/22/2008
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