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NPI Code Detail

MEDICARE: JEROME TERRES, M.D.

MEDICARE: JEROME TERRES, 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
1174400000XSpecialist

General Provider Information

NPI Number : 1306888581
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEROME TERRES, M.D.
Provider Business Mailing Address
First Line : 744 W MICHIGAN AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1909
Country : US
Telephone Number : 517-787-6440
Fax Number : 517-787-4146
Provider Business Practice Location Address
First Line : 600 SAINT JOHNSBURY RD
Second Line :
City : LITTLETON
State : NH
Zip : 03561-3442
Country : US
Telephone Number : 603-823-5701
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JEROME TERRES
Credential : M.D.
Telephone Number : 603-823-5701
Provider Enumeration Date : 06/12/2006
Last Update Date : 08/22/2020

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