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Individual

DR. GEORGE P. TEITELBAUM

Active
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Individual

DR. GEORGE P. TEITELBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G45097
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G450970
BC/BS
CA
05
—
00G450970
—
CA
05
—
1982645602
—
CA
Enumeration date
06/10/2006
Last updated
01/25/2024
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