Individual
DR. ALEXANDRA ELISE TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
100 ENCLAVE CT, LAFAYETTE, LA 70508-5986
(337) 412-7693
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
05/20/2019
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