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Contact Information

MARILYN LYNN G TEALE
1248 SUSSEX TPK
UNIT B11
RANDOLPH, NJ07869
 Phone: 973-440-8370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MARILYN LYNN G TEALE · (Female)

NPI Number 1396306031
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2019
Last updated 06/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 2004AF
  • MD Other 2004AF CERTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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