| Andrei Terentiev Md Llc | |
|
103 River Rd Suite 101 Edgewater NJ 07020-1016 | |
| (201) 945-4288 | |
| Not Available |
| Full Name | Andrei Terentiev Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 River Rd, Edgewater, New Jersey |
| Authorized Official Name and Position | Andrei Terentiev (OWNER) |
| Authorized Official Contact | 2019454288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrei Terentiev Md Llc 103 River Rd Suite 101 Edgewater NJ 07020-1016 Ph: () - | Andrei Terentiev Md Llc 103 River Rd Suite 101 Edgewater NJ 07020-1016 Ph: (201) 945-4288 |
| NPI Number | 1164708319 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164708319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06075500 (New Jersey) | Primary |
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