Individual
DR. JACOB E TEITELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 BENMERE RD, GLEN BURNIE, MD 21060-7235
(410) 573-5389
(410) 590-3047
Mailing address
76-6326 KAHEIAU ST, KAILUA KONA, HI 96740-3218
(410) 573-5389
(410) 266-6104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12803
HI
207R00000X
Internal Medicine Physician
12803
MD
207R00000X
Internal Medicine Physician
D0025812
MD
208VP0000X
Pain Medicine Physician
12803
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21060
ZIP CODE
MD
Enumeration date
12/26/2006
Last updated
03/23/2018
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