Individual
DR. EDWIN TEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 HAMBURG TPKE, SUITE 205, WAYNE, NJ 07470-2025
(973) 720-8333
(973) 720-0408
Mailing address
PO BOX 4015, CLIFTON, NJ 07012-0415
(973) 720-8333
(973) 720-0408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA056236
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6947204
—
NJ
Enumeration date
05/08/2006
Last updated
10/19/2011
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