Individual
RICHARD FREDERICK TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 ELLIOT WAY, STE 102, MANCHESTER, NH 03103-3551
(603) 626-5900
(603) 625-2180
Mailing address
4 ELLIOT WAY, STE 102, MANCHESTER, NH 03103-3551
(603) 626-5900
(603) 625-2180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10570
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109545YPNH01
ANTHEM NH
—
Enumeration date
05/12/2006
Last updated
01/19/2011
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