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NPI Code Detail

MEDICARE: DR. DANIEL M TEPLIN M.D.

MEDICARE: DR. DANIEL M TEPLIN 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
12084P0800XPsychiatry Physician48915MA

General Provider Information

NPI Number : 1871530071
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL M TEPLIN M.D.
Provider Business Mailing Address
First Line : 205 BURLINGTON RD
Second Line :
City : BEDFORD
State : MA
Zip : 01730-1406
Country : US
Telephone Number : 781-761-5090
Fax Number :
Provider Business Practice Location Address
First Line : 205 BURLINGTON RD
Second Line :
City : BEDFORD
State : MA
Zip : 01730-1406
Country : US
Telephone Number : 781-761-5090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 08/10/2020

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