Individual
MICHAEL B TEIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 N MAIN ST, FIRST FLR, WEST HARTFORD, CT 06117-2515
(860) 278-3812
(860) 525-6054
Mailing address
345 N MAIN ST, FIRST FLR, WEST HARTFORD, CT 06117-2515
(860) 278-3812
(860) 525-6054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021525
CT
207RP1001X
Pulmonary Disease Physician
Primary
01079333
IN
207RP1001X
Pulmonary Disease Physician
021525
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001215250
—
CT
01
—
010021525CT02
ANTHEM BLUE SHIELD
CT
Enumeration date
08/17/2006
Last updated
10/26/2017
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