Individual
DR. TETSU UEJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MMM
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-6410
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-5160
(302) 651-6410
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
336029810
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7032021 00
—
MD
Enumeration date
11/15/2006
Last updated
01/14/2014
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