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Individual

DR. TERESA O MADRID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5543
Mailing address
7 CAMBRIDGE RD, MORRIS PLAINS, NJ 07950-1511
(973) 877-5543

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MA40543
NJ

Other

Enumeration date
06/12/2006
Last updated
07/08/2007
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