Individual
DR. DENIS A. TEREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 738-0013
Mailing address
15 WESTWARD RD, WOODBRIDGE, CT 06525-1850
(203) 308-0064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
064505
CT
208600000X
Surgery Physician
0420011264
VT
208600000X
Surgery Physician
Primary
MD18401
RI
208600000X
Surgery Physician
MD27045
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064505
CT LICENSE
CT
05
—
1013267
—
VT
Enumeration date
02/13/2007
Last updated
11/01/2024
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