Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC005850 | PA |
NPI | 1043203656 |
---|---|
Provider Name | Dr. Adam Jay Teichman |
First Address | Allentown, PA 18104-6172 |
Second Address | Allentown, PA 18104-6172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 10/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013597540004 | (05) | PA |
P00388796 | RRB - MEDICARE RAILROAD (01) | PA |
VO79507 | (02) | PA |