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Brian D Tedesco, DPM
Foot Surgery Podiatrist in Somerville, Massachusetts
NPI 1588628853

Brian D Tedesco is a Foot Surgery Podiatrist based in West Peabody, MA and is specialized in Foot Surgery. Brian D Tedesco practices in Somerville, MA and has the professional credentials of DPM. The NPI Number for Brian D Tedesco is 1588628853 and holds a License No. 2199 (Massachusetts).

The current practice location address for Brian D Tedesco is 53 Main St, Somerville, MA and can be reached out via phone at 617-629-2304. You can also correspond with Brian D Tedesco through the mailing address at PO BOX 2190, WEST PEABODY, MA - 01960-7190 (mailing address contact number: 781-231-7026).

Location: 53 Main St, Somerville, MA, 01960-7190
person
Provider Profile Details
NPI Number
1588628853
Provider Name
Brian D Tedesco
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
53 Main St, Somerville, MA, 01960-7190
Phone Number
617-629-2304
Fax Number
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0364011 05 MA
0032245 01 MA NEIGHBORHOOD HEALTH
11318840 01 CAQH
202648900 01 DEPT. OF LABOR-WC
972127 01 MA NETWORK HEALTH
2180343 01 MA HEALTHCARE VALUE
2180343 01 MA FIRST HEALTH-MA LABORERS
334226 01 MA HARVARD PILGRIM HEALTH
746579 01 MA CIGNA
002199 01 MA TUFTSHEALTH CARE
96048 01 MA FALLON
DB4378 01 MA RAILROAD MEDICARE
Y71104 01 MA BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
53 Main St
City
State
Zip
02145-1448
Phone Number
617-629-2304
Fax Number
person
Provider Business Mailing Address Details
Address
53 Main St
City
State
Zip
02145-1448
Phone Number
617-629-2304
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
2199 (Massachusetts)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
2199 (Massachusetts)
Definition
Definition to come...
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