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Individual
DR. THEO WILLIAM TURQUE
Active
Individual
DR. THEO WILLIAM TURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS00210864
STATE CONTROLLED SUBSTANC
NM
Enumeration date
08/10/2005
Last updated
05/20/2021
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