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NPI 1952414385

NPI 1952414385 : MICHAEL B TEIGER MD PC : BLOOMFIELD, CT

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General NPI Number Information
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    NPI Number           |    1952414385
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAEL B TEIGER MD PC 
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Dates
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    Enumeration Date     |    08/17/2006
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    Last Update Date     |    06/19/2018
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Provider Practice Location Address
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    Address Line         |    800 COTTAGE GROVE RD BLDG 5 
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    City                 |    BLOOMFIELD
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    State                |    CT
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    Zip                  |    06002
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    Country              |    US
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    Telephone            |    860-278-3812
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    Fax                  |    860-525-6054
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Provider Business Mailing Address
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    Address Line         |    800 COTTAGE GROVE RD BLDG 5 
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    City                 |    BLOOMFIELD
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    State                |    CT
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    Zip                  |    06002-4235
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    Country              |    US
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    Telephone            |    860-278-3812
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    Fax                  |    860-525-6054
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL B TEIGER 
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    Credential           |    MD
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    Telephone            |    860-278-3812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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