Individual
J MICHAEL TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
743 JEFFERSON AVE, SUITE 206, SCRANTON, PA 18510-1635
(570) 341-9818
(570) 341-9950
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
OS003900L
PA
Other
Enumeration date
05/06/2006
Last updated
03/07/2023
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