Search › New Jersey › 172A00000X
Terry Douglas
NPI 1265119812 · on the registry since 2023 · sole proprietor
Practice
- Address
- 124 Millbridge Rd
Clementon, NJ 08021 - Phone
- (856) 619-6121
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey