THEODORE J SOUTHGATE

NEWARK, NJ
NPI1730156217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NJ  25MA05005700)
Enumeration Date2006-03-03
Last Update Date2007-07-08
Business Address
-- THEODORE J SOUTHGATE MD
201 LYONS AVE SUITE G5
NEWARK, NJ 07112-2027
Phone number: 973-926-7749
Mailing Address
-- THEODORE J SOUTHGATE MD
201 LYONS AVE SUITE G5
NEWARK, NJ 07112-2027
Phone number: 973-926-7749
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