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Individual

DR. MAYER JOSEPH TELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8028 RITCHIE HWY, SUITE 124, PASADENA, MD 21122-1075
(410) 768-0202
(410) 768-1330
Mailing address
8028 RITCHIE HWY, SUITE 124, PASADENA, MD 21122-1075
(410) 768-0202
(410) 768-1330

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0974
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
603673
AETNA
MD
01
KEN4LO
BCBS OF MARYLAND
MD
01
T1680001
BCBS FEDERAL EMPLOYEES
MD
Enumeration date
10/16/2007
Last updated
06/10/2025
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