Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 31939 | FL |
NPI | 1689638728 |
---|---|
Provider Name | Dr. Paul Henri Telson |
First Address | Plantation, FL 33317-6053 |
Second Address | Plantation, FL 33317-3753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 08/07/2007 |