Organization
FLAHERTY TUEGEL AND GOODMAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TEUGEL M.D. (MEDICAL CIRECTOR)
(410) 848-8202
Entity
Organization
Contact information
Practice address
18111 PRINCE PHILIP DR, STE 323, OLNEY, MD 20832-1513
(410) 848-8202
(410) 848-2644
Mailing address
18111 PRINCE PHILIP DR, STE 323, OLNEY, MD 20832-1513
(410) 848-8202
(410) 848-2644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119
BC DC/METRO
DC
01
—
231398
UNIITED HEALTHCARE (S)
MD
05
—
750471300
—
MD
01
—
831398
UNITED HEALTHCARE(P)
MD
01
—
KX28CA
BC MD
MD
Enumeration date
02/27/2006
Last updated
10/18/2010
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