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NPI Code Detail

MEDICARE: HARRY TEITELBAUM PA-C

MEDICARE:   HARRY  TEITELBAUM  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA30039DC

General Provider Information

NPI Number : 1376503706
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY TEITELBAUM PA-C
Provider Business Mailing Address
First Line : 7219 MAPLE AVE
Second Line :
City : TAKOMA PARK
State : MD
Zip : 20912-4344
Country : US
Telephone Number : 301-980-4361
Fax Number :
Provider Business Practice Location Address
First Line : 1140 VARNUM ST NE
Second Line : DR. STEPHEN SEABRON
City : WASHINGTON
State : DC
Zip : 20017-2151
Country : US
Telephone Number : 202-526-8898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 11/22/2010

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Directions to “ HARRY TEITELBAUM PA-C” Practice Location

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