Individual
STEPHEN TEITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 KINGS HWY, BROOKLYN, NY 11234-2644
(718) 377-3775
(718) 377-3776
Mailing address
2200 N MAYFAIR RD, SUITE 200, WAUWATOSA, WI 53226-2252
(414) 258-9511
(414) 607-3948
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
159607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01801532
—
NY
01
—
340019331
RAILROAD MEDICARE
—
Enumeration date
11/29/2005
Last updated
10/09/2012
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