Individual
DR. PAUL MANUEL TEJERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6119 US HIGHWAY 11, CANTON, NY 13617-3991
(315) 261-5810
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT196680
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
279414
NY
Other
Enumeration date
07/13/2010
Last updated
07/21/2022
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