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Organization
MARVIN J. TEITELBAUM, MD, PROF CORP
Active
Organization
MARVIN J. TEITELBAUM, MD, PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN TEITELBAUM M.D. (OWNER)
(310) 828-3401
Entity
Organization
Contact information
Practice address
2901 WILSHIRE BLVD, SUITE # 230, SANTA MONICA, CA 90403-4901
(310) 828-3401
Mailing address
2901 WILSHIRE BLVD, SUITE # 230, SANTA MONICA, CA 90403-4901
(310) 828-3401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
10/02/2012
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