Individual
PATRICK TEESDALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
509 N BROAD ST, WOODBURY, NJ 08096-1617
(856) 845-0100
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO11593100
NJ
Other
Enumeration date
05/27/2009
Last updated
10/08/2024
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