E Theresa Tedesco Md

LBN: Tedesco Medical Associates, Llc
E Theresa Tedesco Md is an health care organization with primary practice located at 131 Lincoln St Suite 8, Worcester MA 01605-2408. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Tedesco Medical Associates, Llc can be contacted via phone (508) 762-4105, or through Tedesco, Eleanor Theresa via phone (508) 762-4105.

Contact Information

Primary practice address
131 Lincoln St Suite 8 Worcester MA 01605-2408
Phone: (508) 762-4105
Fax: (508) 762-4106
Website:
Map and Directions
Authorized official contact:
Name: Tedesco, Eleanor Theresa Doctor of Medicine (MD)
Phone: (508) 762-4105

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 152283 Massachusetts

Profile Details

NPI number 1073990958
LBN Legal business name Tedesco Medical Associates, Llc
DBA Doing business as E Theresa Tedesco Md
Authorized official Tedesco, Eleanor Theresa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2015
Last updated Apr 30th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073990958 NPPES
Massachusetts MEDICAID 3178111

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