Organization
DR TEOFILO A DOUHAJRE JR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEOFILO A DAUHAJRE JR. MD (PRESIDENT)
(201) 868-1200
Entity
Organization
Contact information
Practice address
7000 BOULEVARD EAST, GUTTENBERG, NJ 07093
(201) 868-1200
(201) 868-0064
Mailing address
7000 BOULEVARD EAST, GUTTENBERG, NJ 07093
(201) 868-1200
(201) 868-0064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA41682
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00888303
—
NJ
01
—
4418306
AETNA
NJ
01
—
564G210
EMPIRE BC
NJ
Enumeration date
02/13/2007
Last updated
08/22/2020
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