MEDICARE: DR. NORMAN TERRY SOSKEL MD, FACP, FCCP

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	174400000X	Specialist	15687	TN

General Provider Information

NPI Number	:	1710988316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN TERRY SOSKEL MD, FACP, FCCP

Provider Business Mailing Address
First Line	:	PO BOX 38505
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38183-0505
Country	:	US
Telephone Number	:	901-761-5877
Fax Number	:	901-761-2280

Provider Business Practice Location Address
First Line	:	6005 PARK AVE
Second Line	:	SUITE 501
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5202
Country	:	US
Telephone Number	:	901-761-5877
Fax Number	:	901-761-2280

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	04/21/2011

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