Individual
RICHARD TEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(317) 726-2801
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
1020653
MA
208600000X
Surgery Physician
1020653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110194749A
—
MA
05
—
3148313
—
NH
Enumeration date
03/21/2017
Last updated
05/09/2025
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