Individual
JORGE ENRIQUE TELLO
Active
Individual
JORGE ENRIQUE TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38537
MA
207RX0202X
Medical Oncology Physician
38537
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038537
TUFTS HEALTH PLAN
MA
05
—
2039052
—
MA
01
—
6359
HARVARD PILGRIM HC
MA
01
—
TEM09072
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
07/31/2006
Last updated
06/12/2008
Update your record
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