Provider Demographics
NPI:1932430006
Name:TELESZ, BRIAN F (DC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:F
Last Name:TELESZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4571
Mailing Address - Country:US
Mailing Address - Phone:201-798-2922
Mailing Address - Fax:201-798-0307
Practice Address - Street 1:91 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4571
Practice Address - Country:US
Practice Address - Phone:201-798-2922
Practice Address - Fax:201-798-0307
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00384400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor