Organization
TERESA O MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA O MD (OWNER)
(212) 636-3977
Entity
Organization
Contact information
Practice address
126 W 60TH ST, NEW YORK, NY 10023-7402
(212) 636-3977
Mailing address
126 W 60TH ST, NEW YORK, NY 10023-7402
(212) 636-3977
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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