Doctor Name: | DR. ANDREW STANLEY TEGERIS |
NPI Number: | 1013229582 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, FACP, DABT |
License Number: | M07698 |
Business Practice Address: | 10315 Cheshire Ter Bethesda, MD - 208142209 |
Business Phone Number: | 3015301483 |
Business Fax Number: | 3015303351 |
Mailing Address: | 10315 Cheshire Ter, BETHESDA |
State: | MD |
Postal Code: | 208142209 |
Phone Number: | 3015301483 |
Fax Number: | 3015303351 |
NPI Enumeration Date: | 07/13/2010 |
NPI Last Update Date: | 07/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | M07698 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |