Doctor Name: | DR. DENNIS JAMES TEEHAN |
NPI Number: | 1306006945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 250272 |
Business Practice Address: | 665 Huntington Ave Boston, MA - 021156021 |
Business Phone Number: | 6174323327 |
Business Fax Number: | |
Mailing Address: | 199 Madison St, DEDHAM |
State: | MA |
Postal Code: | 020265009 |
Phone Number: | 7817717268 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 250272 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |