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Individual
BRIAN D TEDESCO
Active
Individual
BRIAN D TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2199
MA
213ES0131X
Foot Surgery Podiatrist
2199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002199
TUFTSHEALTH CARE
MA
01
—
0032245
NEIGHBORHOOD HEALTH
MA
05
—
0364011
—
MA
01
—
11318840
CAQH
—
01
—
202648900
DEPT. OF LABOR-WC
—
01
—
2180343
HEALTHCARE VALUE
MA
01
—
334226
HARVARD PILGRIM HEALTH
MA
01
—
746579
CIGNA
MA
01
—
96048
FALLON
MA
01
—
972127
NETWORK HEALTH
MA
01
—
DB4378
RAILROAD MEDICARE
MA
01
—
Y71104
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
04/13/2006
Last updated
08/31/2011
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