Individual
DR. OLEG MOISEY TEYTELBOYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, ROOM 4214, BALTIMORE, MD 21287-0006
(410) 955-5525
Mailing address
601 N CAROLINE ST, ROOM 4214, BALTIMORE, MD 21287-0006
(410) 955-5525
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D67824
MD
390200000X
Student in an Organized Health Care Education/Training Program
P16782
MD
Other
Enumeration date
02/09/2007
Last updated
07/08/2008
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