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Individual

THOMAS TEDESCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1524 ATWOOD AVE STE LL6, JOHNSTON, RI 02919-3228
(401) 331-7400
Mailing address
1455 ASHLAND CIR, NORFOLK, VA 23509-1203
(757) 567-7479

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01565
RI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/26/2020
Last updated
03/18/2026
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