Provider Demographics
NPI:1073505376
Name:TEPLER, HAROLD GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:GEORGE
Last Name:TEPLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8901 KENNEDY BLVD STE 5S
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-5345
Mailing Address - Country:US
Mailing Address - Phone:201-868-2849
Mailing Address - Fax:201-868-4190
Practice Address - Street 1:9225 KENNEDY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-5322
Practice Address - Country:US
Practice Address - Phone:201-868-2849
Practice Address - Fax:201-868-4190
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07093600207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF54494Medicare UPIN
NJTE038638Medicare PIN