Provider Demographics
NPI:1134245426
Name:DANIEL A. TEET, MD
Entity type:Organization
Organization Name:DANIEL A. TEET, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TEET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-834-9400
Mailing Address - Street 1:1000 TOWER WAY
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5788
Mailing Address - Country:US
Mailing Address - Phone:724-834-9400
Mailing Address - Fax:724-834-1889
Practice Address - Street 1:1000 TOWER WAY
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5788
Practice Address - Country:US
Practice Address - Phone:724-834-9400
Practice Address - Fax:724-834-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036754L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA085861Medicare ID - Type UnspecifiedMEDICARE ID