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NPI Code Detail

MEDICARE: DR. RICHARD TEW M.D.

MEDICARE: DR. RICHARD TEW 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
1208D00000XGeneral Practice PhysicianG23820CA

General Provider Information

NPI Number : 1679572911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD TEW M.D.
Provider Business Mailing Address
First Line : 1106 2ND ST
Second Line : #810
City : ENCINITAS
State : CA
Zip : 92024-5008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2630 1ST AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-6599
Country : US
Telephone Number : 619-234-2158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 02/13/2017

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Directions to “ DR. RICHARD TEW M.D.” Practice Location

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