Individual
JOEL ALAN TEISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, BLDG 90 WARD 92 RM 224, SAN FRANCISCO, CA 94110-3518
(415) 206-8680
(415) 206-4317
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G11837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G118370
—
CA
Enumeration date
07/12/2006
Last updated
07/08/2007
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