Individual
DR. FRED TEICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 ARCH ST, SUITE B, SUNBURY, PA 17801-2299
(570) 286-0608
(570) 286-1102
Mailing address
PO BOX 65, SUNBURY, PA 17801-0065
(570) 286-0608
(570) 286-1102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD026556E
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD026556E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009985060001
—
PA
Enumeration date
01/09/2006
Last updated
04/09/2019
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