Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | MD430295 | PA |
Y | 207RX0202X | Medical Oncology | MD430295 | PA |
NPI | 1164597704 |
---|---|
Provider Name | Dr. Ursina R Teitelbaum |
First Address | Philadelphia, PA 19104-2614 |
Second Address | Philadelphia, PA 19104-4206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 26/09/2019 |