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Individual
DR. GEOFFREY TE JAO
Active
Individual
DR. GEOFFREY TE JAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002717
NY
207R00000X
Internal Medicine Physician
2007-00528
NC
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
2007-00528
NC
207RC0000X
Cardiovascular Disease Physician
2007-00528
NC
208M00000X
Hospitalist Physician
2007-00528
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145HT
BCBS
NC
01
—
199206
MEDCOST
NC
05
—
1992885545
—
VA
05
—
3810009020
—
WV
05
—
5906676
—
NC
01
—
810599
PARTNERS
NC
01
—
9164064
AETNA
NC
05
—
Q0052M
—
SC
Enumeration date
10/17/2006
Last updated
06/16/2023
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