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NPI Code Detail

MEDICARE: DR. MARC ZEV TESSLER MD

MEDICARE: DR. MARC ZEV TESSLER 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
1208000000XPediatrics Physician237671NY
22080A0000XPediatric Adolescent Medicine Physician237671NY
3208000000XPediatrics Physician25MA10922400NJ

General Provider Information

NPI Number : 1669432829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC ZEV TESSLER MD
Provider Business Mailing Address
First Line : 2502 AVENUE I
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2830
Country : US
Telephone Number : 718-258-1400
Fax Number : 718-421-0628
Provider Business Practice Location Address
First Line : 2502 AVENUE I
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2830
Country : US
Telephone Number : 718-258-1400
Fax Number : 718-421-0628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 02/10/2021

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