MEDICARE: MARIA TERESA JOSE MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	67228	WI
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	2025-00841	NC

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	:	1437564861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA TERESA JOSE MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1955 S US 29 HWY
Second Line	:
City	:	CHINA GROVE
State	:	NC
Zip	:	28023-5684
Country	:	US
Telephone Number	:	704-210-7790
Fax Number	:	704-210-7791

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

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	04/14/2025

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Directions to “ MARIA TERESA JOSE MD” Practice Location

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