Individual
DR. JASON SCOTT TEITELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-5253
Mailing address
9 ABERDEEN DR, WEST NYACK, NY 10994-1301
(845) 642-8345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AS3501233-M208
CT
2085R0202X
Diagnostic Radiology Physician
Primary
056155
CT
Other
Enumeration date
01/29/2013
Last updated
03/07/2023
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