Individual
BENJAMIN M TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4600 NORTH PARK AVENUE, PLAZA NORTH, CHEVY CHASE, MD 20815
(301) 841-6776
(301) 215-4144
Mailing address
4600 N PARK AVE, PLAZA NORTH, CHEVY CHASE, MD 20815-4518
(301) 841-6776
(301) 215-4144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1389
MD
Other
Enumeration date
07/07/2006
Last updated
12/19/2014
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