Individual
DR. E TESSA HEDLEY-WHYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD MBBS
Contact information
Practice address
55 FRUIT ST, WRN 325, BOSTON, MA 02114-2621
(617) 726-5154
(617) 724-1813
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
27314
MA
207ZP0101X
Anatomic Pathology Physician
Primary
27314
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027314
TUFTS HEALTH PLAN
MA
05
—
2091887
—
MA
01
—
J01191
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
08/18/2009
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