Individual
KONSTANTIN TETELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7170 LAFAYETTE AVE, FORT WASHINGTON, PA 19034-2301
(215) 641-5300
Mailing address
1824 HERITAGE DR, JAMISON, PA 18929-1629
(267) 902-3060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023490
PA
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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