Brian D Tedesco in West Peabody - Podiatrist

Brian D Tedesco - NPI 1588628853

Brian D Tedesco is a Podiatrist in West Peabody, Massachusetts. Brian D Tedesco practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brian D Tedesco is 1588628853. The last update date is 2011-08-31.

Brian D Tedesco's current location address is Po Box 2190, West Peabody, Massachusetts. You can contact this provider via phone number 7812317026. The mailing address for Brian D Tedesco is Po Box 2190, West Peabody, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian D Tedesco
Address Po Box 2190, West Peabody, Massachusetts
Phone Number 7812317026
Fax Number
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1588628853
Provider Enumeration Date 2006-04-13
Last Updated Date 2011-08-31

Provider Mailing Address Detail

Address Po Box 2190
City West Peabody
State Massachusetts (MA)
Post Code 19607190
Phone Number 7812317026
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 2199
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
364011 MA --
32245 MA NEIGHBORHOOD HEALTH
11318840 CAQH
202648900 DEPT. OF LABOR-WC
972127 MA NETWORK HEALTH
2180343 MA HEALTHCARE VALUE
2180343 MA FIRST HEALTH-MA LABORERS
334226 MA HARVARD PILGRIM HEALTH
746579 MA CIGNA
2199 MA TUFTSHEALTH CARE

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FAQs about Brian D Tedesco

What is the unique 10-digit identifier code assigned to Brian D Tedesco by the Centers for Medicare & Medicaid Services?

The Brian D Tedesco has been issued the NPI (National Provider Identifier) 1588628853 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Brian D Tedesco's physical address?

The Brian D Tedesco is physically located at Po Box 2190, in the city of West Peabody, MA, with the postal code 19607190.

What is Brian D Tedesco's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Brian D Tedesco is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.

On what date did Brian D Tedesco receive its 1588628853 assignment from the Centers for Medicare & Medicaid Services?

The Brian D Tedesco was assigned its 1588628853 on 2006-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Brian D Tedesco most recently updated?

The details pertaining to the Brian D Tedesco, including its address, specialty, and other relevant information, were last refreshed on 2011-08-31.

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