Teitelbaum, Marshall L

Teitelbaum, Marshall L is an sole proprietor health care provider with primary practice located at 641 University Blvd Su. 206, Jupiter FL 33458-2791. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Teitelbaum, Marshall L can be contacted via phone (561) 630-8530.

Contact Information

Primary practice address
641 University Blvd Su. 206 Jupiter FL 33458-2791
Phone: (561) 630-8530
Fax: (561) 630-8531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0064520 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME0064520 Florida

Profile Details

NPI number 1336241207
LBN Legal business name Teitelbaum, Marshall L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated May 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336241207 NPPES
Florida Other ME0064520 MEDICAL LICENSE
Florida MEDICAID 377387600 MEDICAL LICENSE

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