Tredeau, Richard J

Tredeau, Richard J is an individual health care provider with primary practice located at 123 Dwight Rd Suite 11, Longmeadow MA 01106-1748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tredeau, Richard J can be contacted via phone (413) 567-1031.

Contact Information

Primary practice address
123 Dwight Rd Suite 11 Longmeadow MA 01106-1748
Phone: (413) 567-1031
Fax: (413) 567-7683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55823 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 030712 Connecticut

Profile Details

NPI number 1174590673
LBN Legal business name Tredeau, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1174590673 NPPES
Massachusetts MEDICAID 3034585

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