Provider Demographics
NPI:1265571897
Name:TURKELTAUB, PAUL C (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:TURKELTAUB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9112 FALL RIVER LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2236
Mailing Address - Country:US
Mailing Address - Phone:301-983-0237
Mailing Address - Fax:240-353-1161
Practice Address - Street 1:9112 FALL RIVER LN
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2236
Practice Address - Country:US
Practice Address - Phone:301-983-0237
Practice Address - Fax:240-353-1161
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0019387207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B94602Medicare UPIN
B94602Medicare UPIN