Provider Demographics
NPI:1407111248
Name:TESSLER, OREN (MD, CM, MBA)
Entity Type:Individual
Prefix:DR
First Name:OREN
Middle Name:
Last Name:TESSLER
Suffix:
Gender:M
Credentials:MD, CM, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 E CAMELBACK RD # 581
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2307
Mailing Address - Country:US
Mailing Address - Phone:480-561-6185
Mailing Address - Fax:480-561-6186
Practice Address - Street 1:3686 S ROME ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7341
Practice Address - Country:US
Practice Address - Phone:480-561-6185
Practice Address - Fax:480-561-6186
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.206596208200000X
MA250899208200000X
AZ55056208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery