Individual
DR. TERESA VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-6770
(617) 726-8360
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-6770
(617) 726-8360
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD428831
PA
2085P0229X
Pediatric Radiology Physician
290420
MA
2085P0229X
Pediatric Radiology Physician
MD428831
MA
2085P0229X
Pediatric Radiology Physician
MD428831
PA
2085R0202X
Diagnostic Radiology Physician
Primary
290420
MA
2085R0202X
Diagnostic Radiology Physician
MD428831
PA
Other
Enumeration date
05/11/2007
Last updated
10/31/2022
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