Organization
TERRY W. HENSLE, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY W HENSLE M.D. (OWNER)
(201) 695-3362
Entity
Organization
Contact information
Practice address
699 TEANECK RD, TEANECK, NJ 07666-4244
(201) 695-3362
Mailing address
699 TEANECK RD, TEANECK, NJ 07666-4244
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
25MA03420300
NJ
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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