Provider Demographics
NPI:1689638728
Name:TELSON, PAUL HENRI (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HENRI
Last Name:TELSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 SW 21ST CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-6053
Mailing Address - Country:US
Mailing Address - Phone:954-791-9580
Mailing Address - Fax:954-797-0473
Practice Address - Street 1:4330 W BROWARD BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3753
Practice Address - Country:US
Practice Address - Phone:954-791-9580
Practice Address - Fax:954-797-0473
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31939170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics