Individual
DR. PHILIP TEITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 N. KENDALL DRIVE, CHILDREN'S HOSPITAL BOSTON, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
PO BOX 919336, CHILDREN'S HOSPITAL BOSTON, ORLANDO, FL 32891-9336
(786) 596-1960
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
243722
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME110484
FL
Other
Enumeration date
09/18/2007
Last updated
07/20/2011
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