Individual
ANTHONY K TEEBAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 01655-0002
(508) 334-5000
(774) 443-4714
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
59443
MA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
59443
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110045572A
—
MA
Enumeration date
11/10/2006
Last updated
10/29/2020
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