Individual
DR. TERI LOU MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033439
NEIGHBORHOOD HLTH PLAN
MA
01
—
042297845
HCVM
MA
05
—
2090350
—
MA
01
—
469907
TUFTS
MA
01
—
6690812
CIGNA
MA
01
—
7190585
AETNA
MA
01
—
91256
FALLON
MA
01
—
AA18464
HVD PILGRIM HEALTH CARE
MA
01
—
J28098
BCBS
MA
Enumeration date
11/09/2005
Last updated
01/21/2014
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