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Individual

MARYANNA C TER POORTEN

Active
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Individual

MARYANNA C TER POORTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
2003-00893
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89134VK
NC
01
P00232695
MEDICARE RAILROAD
NC
Enumeration date
12/19/2005
Last updated
02/12/2009
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