Individual
HEATHER TEITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 CAMPUS DR, COLLEGE PARK, MD 20742-0001
(301) 314-2549
Mailing address
140 CAMPUS DR, COLLEGE PARK, MD 20742-0001
(301) 314-2549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003207
MD
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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