Individual
DR. BENJAMIN DAVID TEITELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
98 STATE ROAD 150, SUITE 2, VENADO PLAZA, EL PRADO, NM 87529
(505) 776-1067
Mailing address
PO BOX 2068, EL PRADO, NM 87529-2068
(505) 776-1067
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
369
NM
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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