Individual
DR. ALAN TEITELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 SPRING GROVE AVE, SAN RAFAEL, CA 94901-2638
(415) 302-5503
Mailing address
140 SPRING GROVE AVE, SAN RAFAEL, CA 94901-2638
(415) 302-5503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C30682
CA
Other
Enumeration date
04/11/2007
Last updated
05/08/2015
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