Individual
MICHELLE TERESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
470 STILLWELLS CORNER RD, FREEHOLD, NJ 07728-2969
(732) 780-3333
(732) 780-6968
Mailing address
69 WEST MAIN STREET, FREEHOLD, NJ 07728-2114
(732) 409-3633
(731) 409-7133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09013100
NJ
Other
Enumeration date
10/21/2011
Last updated
11/16/2011
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