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NPI Code Detail

MEDICARE: MELANIE TEASLEY M.D.

MEDICARE:   MELANIE  TEASLEY  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
12084P0800XPsychiatry Physician25MA04223000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528157682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE TEASLEY M.D.
Provider Business Mailing Address
First Line : 3 BENEDEK RD
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-2229
Country : US
Telephone Number : 609-921-2113
Fax Number :
Provider Business Practice Location Address
First Line : 1460 LIVINGSTON AVE
Second Line : PRINCETON HOUSE BEHAVIORAL HEALTH
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-1873
Country : US
Telephone Number : 732-729-3600
Fax Number : 732-435-0222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 03/16/2009

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