Teehan, Edwin
Teehan, Edwin is an sole proprietor health care provider with primary practice located at 510 Hamburg Tpke Suite 205, Wayne NJ 07470-2025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Teehan, Edwin can be contacted via phone (973) 720-8333.Contact Information
Primary practice address
510 Hamburg Tpke Suite 205
Wayne NJ 07470-2025
Phone: (973) 720-8333
Fax: (973) 720-0408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MA056236 | New Jersey |
Profile Details
| NPI number | 1366491532 |
|---|---|
| LBN Legal business name | Teehan, Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Oct 19th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366491532 | NPPES |
| New Jersey | MEDICAID | 6947204 |
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