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Individual

TERESA J HUMARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3 COOPER PLZ, SUITE 307, CAMDEN, NJ 08103-1438
(856) 342-2328
(856) 541-6137
Mailing address
3 COOPER PLZ, SUITE 307, CAMDEN, NJ 08103-1438
(856) 342-2328
(856) 541-6137

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA077045
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0043036
NJ
01
1676860
PENNSYLVANIA BLUE SHIELD
01
2349040000
AMERIHEALTH, KEYSTONE, IBC
NJ
01
2566624
UNITED HEALTHCARE
01
3630099
AETNA
NJ
01
3K6032
HEALTHNET
01
42316
UNIVERSITY HEALTHPLAN
01
P00163811
RR MEDICARE
01
P3451609
OXFORD HEALTHPLAN
Enumeration date
10/03/2006
Last updated
05/21/2008
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