| E Theresa Tedesco Md | |
|
131 Lincoln St Suite 8 Worcester MA 01605-2408 | |
| (508) 762-4105 | |
| (508) 762-4106 |
| Full Name | E Theresa Tedesco Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 131 Lincoln St, Worcester, Massachusetts |
| Authorized Official Name and Position | Eleanor Theresa Tedesco (OWNER) |
| Authorized Official Contact | 5087624105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Theresa Tedesco Md 19 Wheelock Rd Shrewsbury MA 01545-1834 Ph: (508) 845-6510 | E Theresa Tedesco Md 131 Lincoln St Suite 8 Worcester MA 01605-2408 Ph: (508) 762-4105 |
| NPI Number | 1073990958 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073990958 | NPI | - | NPPES |
| 3178111 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 152283 (Massachusetts) | Primary |
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