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NPI Code Detail

MEDICARE: DR. TERESITA ALO GO M.D

MEDICARE:  DR. TERESITA ALO GO  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician155537NY

General Provider Information

NPI Number : 1144259565
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERESITA ALO GO M.D
Provider Business Mailing Address
First Line : PO BOX 26246
Second Line :
City : NEW YORK
State : NY
Zip : 10087-6246
Country : US
Telephone Number : 718-604-5574
Fax Number : 718-604-5527
Provider Business Practice Location Address
First Line : 1061 LIBERTY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-2912
Country : US
Telephone Number : 718-827-5003
Fax Number : 718-827-5359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TERESITA ALO GO M.D” Practice Location

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