Individual
EDISON TENECELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-6000
Mailing address
48 ANTHONY ST UNIT 2, NEW HAVEN, CT 06515-1636
(845) 598-8969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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