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NPI Code Detail

MEDICARE: NOAH JAMES TEAFF

MEDICARE: NOAH JAMES TEAFF
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1265038285
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH JAMES TEAFF
Provider Business Mailing Address
First Line : 327 MEDICAL PARK DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 327 MEDICAL PARK DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 681-342-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2020
Last Update Date : 02/17/2026

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Directions to “ NOAH JAMES TEAFF ” Practice Location

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