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Individual

DR. TERESA LORENA JERALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 08939
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23120-6
BLUE CROSS & BLUE SHIELD
RI
01
BLUE CHIP
400266
RI
05
MS47209
RI
01
NEIGHBORHOOD HEALTH
1688
RI
01
TUFTS
406145
RI
01
UNITED HEALTH CARE
12-02780
RI
Enumeration date
09/28/2006
Last updated
03/27/2013
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