THEODORE SOUTHGATE, MD
Internal Medicine - Cardiovascular Disease
Active
Individual
NPI: 1730156217
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Cardiovascular Disease | 207RC0000X | Yes | 25MA05005700 (NJ) |
Frequently Asked Questions
NPI 1730156217 is the National Provider Identifier for THEODORE SOUTHGATE, MD, a Internal Medicine - Cardiovascular Disease provider located in Newark, NJ. This NPI was enumerated on March 3, 2006.
THEODORE SOUTHGATE, MD practices at 201 LYONS AVE, SUITE G5, Newark, NJ 07112.
Quick Facts
- NPI
- 1730156217
- Type
- Individual
- Enumerated
- Mar 3, 2006
- Last Updated
- Jul 8, 2007
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