Provider Demographics
NPI:1245457126
Name:TEEPLE, ERIN (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:TEEPLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:45 ELI WHITNEY ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3538
Mailing Address - Country:US
Mailing Address - Phone:401-316-2261
Mailing Address - Fax:
Practice Address - Street 1:665 HUNTINGTON AVE
Practice Address - Street 2:DEPARTMENT OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6021
Practice Address - Country:US
Practice Address - Phone:617-432-3327
Practice Address - Fax:617-432-0219
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2013-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI13600207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI13600OtherLICENSE
MA257124OtherLICENSE