Tedesco, Mark J

Tedesco, Mark J is an individual health care provider with primary practice located at 3990 Fettler Park Dr Suite B, Dumfries VA 22025-1997. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tedesco, Mark J can be contacted via phone (703) 680-3489.

Contact Information

Primary practice address
3990 Fettler Park Dr Suite B Dumfries VA 22025-1997
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD043004E Pennsylvania

Profile Details

NPI number 1689695280
LBN Legal business name Tedesco, Mark J
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Nov 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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