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Individual

RICHARD T TENCZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95481
SC
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
042439
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001424390
CT
Enumeration date
06/10/2006
Last updated
02/03/2026
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