Organization
GEORGE P TEITELBAUM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE P TEITELBAUM M.D. (OWNER)
(818) 847-4835
Entity
Organization
Contact information
Practice address
501 S. BUENA VISTA ST., BURBANK, CA 91505-4809
(818) 847-4835
(818) 847-4842
Mailing address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-4835
(818) 847-4842
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G45097
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G45097
CA
2085R0204X
Vascular & Interventional Radiology Physician
G45097
CA
Other
Enumeration date
03/11/2010
Last updated
12/09/2011
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