# TELEBUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245859958
- **Authorized official:** DR. DAVID L. SIMON M.D., J.D. (CHIEF MANAGING OFFICER)
- **Authorized official phone:** (860) 230-3294

## Contact information

- **Practice address:** 2 LEDGEBROOK DR FL 2, MANSFIELD CENTER, CT 06250-1682
- **Practice address phone:** (860) 230-3294
- **Mailing address:** PO BOX 618, MANSFIELD CENTER, CT 06250-0618
- **Mailing address phone:** (860) 230-3294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2020
- **Last updated:** 04/13/2020