Individual
DR. MARIO DIEGO TERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(202) 537-4000
Mailing address
888 N QUINCY ST UNIT 1506, ARLINGTON, VA 22203-2076
(520) 390-7395
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101264056
VA
208600000X
Surgery Physician
D0073314
MD
208600000X
Surgery Physician
Primary
MD045874
DC
Other
Enumeration date
04/06/2009
Last updated
12/26/2023
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