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NPI Code Detail

MEDICARE: DR. THOMAS MCTERNAN M.D.

MEDICARE: DR. THOMAS MCTERNAN 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
1207R00000XInternal Medicine Physician222824NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110229680OTHERNYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336242387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS MCTERNAN M.D.
Provider Business Mailing Address
First Line : 113 MAIN ST
Second Line :
City : SILVER CREEK
State : NY
Zip : 14136-1452
Country : US
Telephone Number : 716-934-4518
Fax Number : 716-934-7443
Provider Business Practice Location Address
First Line : 113 MAIN ST
Second Line :
City : SILVER CREEK
State : NY
Zip : 14136-1452
Country : US
Telephone Number : 716-934-4518
Fax Number : 716-934-7443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 09/18/2014

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