Individual
TERRY W HENSLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, LLC
Contact information
Practice address
699 TEANECK RD, SUITE 103, TEANECK, NJ 07666-4244
(201) 645-3362
Mailing address
699 TEANECK RD, STE. 103, TEANECK, NJ 07666-4244
(201) 645-3362
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
132062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00434419
—
NY
01
—
32587
BLUE CROSS PPO
NY
01
—
NS1501
OXFORD
NY
Enumeration date
01/23/2007
Last updated
01/31/2014
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