Tedesco, Pamela A

Tedesco, Pamela A is an individual health care provider with primary practice located at 1161 Mcdermott Dr Suite 101, West Chester PA 19380-4064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tedesco, Pamela A can be contacted via phone (610) 701-7011.

Contact Information

Primary practice address
1161 Mcdermott Dr Suite 101 West Chester PA 19380-4064
Phone: (610) 701-7011
Fax: (610) 429-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS007895L Pennsylvania

Profile Details

NPI number 1417927179
LBN Legal business name Tedesco, Pamela A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 24th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417927179 NPPES
Pennsylvania MEDICAID 001903329
Pennsylvania Other 232359401

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