Healthcare Provider Details

I. General information

NPI: 1770089112
Provider Name (Legal Business Name): CATHERINE MICHELLE TESKIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHRISTIANA HOSPITAL 4755 OGLETOWN-STANTON RD
NEWARK DE
19718-0001
US

IV. Provider business mailing address

501 W 14TH ST
WILMINGTON DE
19801-1013
US

V. Phone/Fax

Practice location:
  • Phone: 302-320-4411
  • Fax:
Mailing address:
  • Phone: 302-320-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberC2-0024337
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: