Individual
PAULO TERESO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
868 MAIN ST, SPRINGFIELD, MA 01103-2105
(413) 736-5491
Mailing address
101 MOTYKA ST, LUDLOW, MA 01056-2129
(413) 736-5491
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2746
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y37014
BLUECROSS BLUESHIELD
MA
Enumeration date
05/10/2006
Last updated
07/09/2007
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