DR. Benjamin David Teitelbaum, DOM

NPI #1609888502 in El Prado, New Mexico

Provider Information

NPI Number: 1609888502
Entity Type: Individual
Name: DR. Benjamin David Teitelbaum, DOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: DOM
Enumeration Date: Aug 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 98 STATE ROAD 150
Address 2: SUITE 2, VENADO PLAZA
City: El Prado
State: New Mexico
ZIP Code: 87529
Phone: (505) 776-1067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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