Provider Demographics
NPI:1457587776
Name:TEIJ MEDICAL INC.
Entity Type:Organization
Organization Name:TEIJ MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BALJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAPPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-351-8989
Mailing Address - Street 1:43 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3960
Mailing Address - Country:US
Mailing Address - Phone:908-351-8989
Mailing Address - Fax:908-351-8879
Practice Address - Street 1:725 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-2347
Practice Address - Country:US
Practice Address - Phone:908-351-8989
Practice Address - Fax:908-351-8879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08077700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty