Individual
DOUGLAS TEAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RDMS
Contact information
Practice address
7606 7TH AVE, BROOKLYN, NY 11209-3321
(718) 492-6590
Mailing address
133 KENT AVE, BROOKLYN, NY 11211-3014
(718) 963-0404
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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