MEDICARE: TERESA J. LIMIDO DPM

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	213E00000X	Podiatrist	25MD00269100	NJ

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

General Provider Information

NPI Number	:	1427043199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA J. LIMIDO DPM

Provider Business Mailing Address
First Line	:	10 FAIRWAY
Second Line	:
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1954
Country	:	US
Telephone Number	:	201-368-0244
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 MILLBURN AVE
Second Line	:	STE 203
City	:	MILLBURN
State	:	NJ
Zip	:	07041-1933
Country	:	US
Telephone Number	:	973-762-9294
Fax Number	:	973-762-9262

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	05/01/2017

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