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1164425252

NPI Code Detail

MEDICARE: TEDD MARK GOLDFINGER D.O.

MEDICARE: TEDD MARK GOLDFINGER D.O.

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
1	207RC0000X	Cardiovascular Disease Physician	02198	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00132740	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	005502300	OTHER	AZ	CIGNA
4	10076419	OTHER	AZ	PPO NEXT
5	5016425	OTHER	AZ	CCN
6	100663	OTHER	AZ	ONE HEALTH PLAN OF AZ
7	1413	OTHER	AZ	ARIZONA MEDICAL NETWORK
8	2591480	OTHER	AZ	GHI
9	4063355	OTHER	AZ	AETNA
10	9827534	OTHER	CA	MEDI-CAL
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	52985	OTHER	AZ	FIRST HEALTH
13	AZ0860250	OTHER	AZ	BCBS OF ARIZONA
14	1Z2241	OTHER	AZ	HEALTH NET
15	25-00025	OTHER	AZ	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1164425252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEDD MARK GOLDFINGER D.O.

Provider Business Mailing Address
First Line	:	6320 N LA CHOLLA BLVD STE 300
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3552
Country	:	US
Telephone Number	:	520-545-0953
Fax Number	:	520-545-0954

Provider Business Practice Location Address
First Line	:	6320 N LA CHOLLA BLVD STE 300
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3552
Country	:	US
Telephone Number	:	520-545-0953
Fax Number	:	520-545-0954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	09/13/2021

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Directions to “ TEDD MARK GOLDFINGER D.O.” Practice Location

Language	Start Address	Practice Location

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