Individual
DR. RICHARD J TREDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 DWIGHT RD, SUITE 11, LONGMEADOW, MA 01106-1748
(413) 567-1031
(413) 567-7683
Mailing address
123 DWIGHT RD, SUITE 11, LONGMEADOW, MA 01106-1748
(413) 567-1031
(413) 567-7683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
030712
CT
208000000X
Pediatrics Physician
Primary
55823
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034585
—
MA
Enumeration date
03/02/2006
Last updated
07/08/2007
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