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Individual

DR. THOMAS E TERNDRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
DEPARTMENT OF EMERGENCY MEDICINE, 500 UNIVERSITY DRIVE, HERSHEY, PA 17033
(717) 531-8955
(717) 531-4587
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8305
(614) 293-3124

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00022428
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000060588
AL
01
051060588
BCBS PROVIDER NUMBER
AL
01
930083701
RRMC PROVIDER NUMBER
AL
Enumeration date
11/16/2005
Last updated
07/19/2013
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