Individual
DR. KENNETH JOHN TAUBENSLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 W REDWOOD ST STE 470, BALTIMORE, MD 21201-7009
(667) 214-1111
(410) 328-6503
Mailing address
419 W REDWOOD ST STE 470, BALTIMORE, MD 21201-7009
(667) 214-1111
(410) 328-6503
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D0091402
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
D0091402
MD
Other
Enumeration date
03/31/2015
Last updated
07/07/2021
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