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Individual
TERESA COYLE
Active
Individual
TERESA COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11774600
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
25MB11774600
NJ
Other
Enumeration date
04/02/2019
Last updated
09/14/2023
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