MEDICARE: SERGEY TERUSHKIN 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
1	208600000X	Surgery Physician	25MA09461900	NJ
2	208600000X	Surgery Physician	262892	NY
3	208600000X	Surgery Physician	ME107293	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245424506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGEY TERUSHKIN M.D.

Provider Business Mailing Address
First Line	:	331 NEWMAN SPRINGS RD STE 220
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-5792
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:	201-751-1680

Provider Business Practice Location Address
First Line	:	3537 FOREST HILL BLVD STE B
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5867
Country	:	US
Telephone Number	:	561-892-6002
Fax Number	:	561-892-6001

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

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	10/21/2024

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Directions to “ SERGEY TERUSHKIN M.D.” Practice Location

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