Teitelbaum, Jonathan E

Teitelbaum, Jonathan E is an individual health care provider with primary practice located at 279 3Rd Ave Suite 101, Long Branch NJ 07740-6211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Teitelbaum, Jonathan E can be contacted via phone (732) 923-6080.

Contact Information

Primary practice address
279 3Rd Ave Suite 101 Long Branch NJ 07740-6211
Phone: (732) 923-6080
Fax: (732) 923-6083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 25MA06903300 New Jersey

Profile Details

NPI number 1831154475
LBN Legal business name Teitelbaum, Jonathan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 13th, 2013 - 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 1831154475 NPPES
New Jersey MEDICAID 7927401

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