Individual
MARIA TERESA S DACLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13 N HARTFORD AVE, ATLANTIC CITY, NJ 08401-3512
(609) 348-1161
Mailing address
PO BOX 1086, PLEASANTVILLE, NJ 08232-6086
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA068426
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7880804
—
NJ
Enumeration date
07/15/2006
Last updated
04/28/2011
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