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Individual

DR. DESAROM TESO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 WASHINGTON ST, TUFTS-NEMC #437, BOSTON, MA 02111-1526
(617) 636-5891
Mailing address
149 BUNKER HILL AVE, APT 1, WATERBURY, CT 06708-2223
(203) 768-5106

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
231053
MA

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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