Provider Demographics
NPI:1609803402
Name:FAUST, TERA N (DO)
Entity type:Individual
Prefix:DR
First Name:TERA
Middle Name:N
Last Name:FAUST
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:100 WELLNESS WAY
Mailing Address - Street 2:BLDG 2
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9706
Mailing Address - Country:US
Mailing Address - Phone:724-250-6001
Mailing Address - Fax:724-250-6004
Practice Address - Street 1:100 WELLNESS WAY
Practice Address - Street 2:BLDG 2
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9706
Practice Address - Country:US
Practice Address - Phone:724-250-6001
Practice Address - Fax:724-250-6004
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0133703208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics