Organization
TEDESCO MEDICAL ASSOCIATES, LLC
Active
Organization
TEDESCO MEDICAL ASSOCIATES, LLC
Active
Other names
E Theresa Tedesco MD
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR THERESA TEDESCO M.D. (OWNER)
(508) 762-4105
Entity
Organization
Contact information
Practice address
131 LINCOLN ST, SUITE 8, WORCESTER, MA 01605-2408
(508) 762-4105
(508) 762-4106
Mailing address
19 WHEELOCK RD, SHREWSBURY, MA 01545-1834
(508) 845-6510
(508) 845-6512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
152283
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3178111
—
MA
Enumeration date
04/30/2015
Last updated
04/30/2015
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