Individual
THEODORE DAVID CONLIFFE JR.
Active
Individual
THEODORE DAVID CONLIFFE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07355800
NJ
208100000X
Physical Medicine & Rehabilitation Physician
307356
NY
208100000X
Physical Medicine & Rehabilitation Physician
MD065466L
PA
208100000X
Physical Medicine & Rehabilitation Physician
ME152938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0768790000
IBC
PA
01
—
2124376000
IBC
NJ
01
—
2678030
AETNA
PA
01
—
2740687
AETNA
NJ
01
—
6719765
CIGNA
—
Enumeration date
05/20/2006
Last updated
06/10/2024
Update your record
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