Individual
MR. ANDREI TERENTIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 RIVER RD, EDGEWATER, NJ 07020-1016
(201) 945-4288
(201) 945-8690
Mailing address
103 RIVER RD, EDGEWATER, NJ 07020-1016
(201) 945-4288
(201) 945-8690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA60755
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6345701
—
NJ
Enumeration date
06/26/2006
Last updated
10/19/2011
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