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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRIAM TETELBOM, MD

Active Sole Proprietor

MIRIAM TETELBOM, MD is a Psychiatric Neurology healthcare provider located in RED BANK, New Jersey. NPI 1598927956 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · RED BANK, NJ

Registration Details

NPI Number
1598927956
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2008 (18.168156339424 yrs)
Last Updated
Feb 26, 2020
Licenses
252078 (NY)
25MA09284100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
316 BROAD STREET
SUITE # 3
RED BANK, NJ, 077012155
Browse NJ providers · Browse ZIP 07701
Phone
7325039812
Primary Specialty
Psychiatric Neurology
2084P0804X
Additional Specialty
Psychiatric Neurology

Other Psychiatric Neurology Providers in RED BANK, NJ

Name Credential NPI
SUSAN J GRANT MD 1528143237
DR. SIREESHA KOLLI M.D. 1194929372
DR. SUNEETA SAYYAPARAJU M.D. 1669665188
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.