Active NPIIndividual providerSole proprietor

Dr. Edwin Teehan, MD

Surgery in Wayne, New Jersey

NPI Number1366491532
Practice location
510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025
Fax
973-720-0408
Last updated
October 19, 2011

Edwin Teehan is a Surgery based in Wayne, NJ. Edwin Teehan practices in Wayne, NJ and has the professional credentials of MD. The NPI Number for Edwin Teehan is 1366491532 and holds a License No. MA056236 (NJ). The current practice location address for Edwin Teehan is 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025 and can be reached out via phone at 973-720-8333 and via fax at 973-720-0408.

Provider Profile Details

NPI Number
1366491532
Provider Name
Edwin Teehan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025
Phone Number
973-720-8333
Fax Number
973-720-0408
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2006
Last Update Date
October 19, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
510 Hamburg Tpke
Suite 205
Wayne, NJ 07470-2025
City
Wayne
Zip
07470-2025
Phone Number
973-720-8333
Fax Number
973-720-0408
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
Po Box 4015
Clifton, NJ 07012-0415
City
Clifton
State
NJ
Zip
07012-0415
Phone Number
973-720-8333
Fax Number
973-720-0408

License Information

License Number
MA056236
License State
NJ
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edwin Teehan, MD?

The NPI number of Dr. Edwin Teehan, MD is 1366491532. It was assigned on May 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edwin Teehan, MD?

Dr. Edwin Teehan, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number MA056236.

Where does Dr. Edwin Teehan, MD practice?

The practice location is 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025. The office can be reached at 973-720-8333 (phone) or 973-720-0408 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366491532 directly on the NPPES registry website.

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