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Andrei Terentiev, MD

Internal Medicine in Edgewater, NJ. Individual provider (NPI-1).

NPI number1023045358
StatusActive
Last updated in NPPESOct 19, 2011

Details

NPI
1023045358
Entity type
Individual (NPI-1)
Name
Mr. Andrei Terentiev
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 26, 2006
Last updated
Oct 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicinema60755NJYes

Practice location

103 River Rd
Edgewater, NJ 07020-1016

Phone 201-945-4288 · Fax 201-945-8690

Mailing address

103 River Rd
Edgewater, NJ 07020-1016

Phone 201-945-4288 · Fax 201-945-8690

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