Provider Demographics
NPI:1588903637
Name:TEITEL, GREGG SCOTT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:SCOTT
Last Name:TEITEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3480 BYRON DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6518
Mailing Address - Country:US
Mailing Address - Phone:215-816-6881
Mailing Address - Fax:215-794-2125
Practice Address - Street 1:3480 BYRON DR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-6518
Practice Address - Country:US
Practice Address - Phone:215-816-6881
Practice Address - Fax:215-794-2125
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-10
Last Update Date:2013-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034298L1835P1200X
PARPI0031021835P1200X
NJ28RI018591001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy