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Individual

DESPINA TERRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 HAMILTON AVE, ST. FRANCIS MEDICAL CENTER - RADIATION ONCOLOGY DEPT., TRENTON, NJ 08629-1915
(609) 599-5179
Mailing address
601 HAMILTON AVENUE, ST. FRANCIS MEDICAL CENTER - RADIATION ONCOLOGY DEPT., TRENTON, NJ 08629-1915
(609) 599-5179

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA04949100
NJ
2085R0001X
Radiation Oncology Physician
MD039786L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100212510502
AMERICHOICE
NJ
01
4651788
AETNA PPO
NJ
01
6460687
AETNA HMO
NJ
05
7351402
NJ
01
P4232377
OXFORD
NJ
Enumeration date
04/11/2007
Last updated
06/19/2012
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