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Individual

DR. JEFFREY M. TENCER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1055 FARMINGTON AVE, FARMINGTON, CT 06032-1511
(860) 409-0871
(860) 673-1929
Mailing address
9 ANGLERS BND, UNIONVILLE, CT 06085-1088
(860) 409-0871
(860) 673-1929

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000594
CT
213E00000X
Podiatrist
E3335
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030000594CT01
BLUE CROSS BLUE SHIELD
CT
05
4125169
CT
01
HAS475
OXFORD HEALTH PLAN
CT
01
OV1137
HEALTHNET
CT
Enumeration date
02/06/2006
Last updated
07/08/2007
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