Brian D Tedesco, DPM & George a Abboud DPM PC
Organization Active NPI Podiatrist · Derry, NH
NPI 1013771013 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1013771013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- BRIAN D TEDESCO, DPM & GEORGE A ABBOUD DPM PC
- Practice address
- 44 Birch St Ste 301
Derry, NH 03038-2752 - Phone
- (603) 260-6554
- Fax
- (603) 260-6559
- NPI assigned
- Feb 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Sheila Antimone
- Title
- Office Manager
- Phone
- (781) 944-4044
Corporate family (same tax ID) 4
Practitioners 1
-
Brian D Tedesco, D.P.M.
National Provider Directory
- Tax ID family
- Brian D Tedesco DPM George
Locations
607 North Ave
Bldg G
Wakefield, MA 01880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes | ||
| Foot Surgery Podiatrist |
213ES0131X |
Addresses
Primary practice location
44 Birch St Ste 301
Derry, NH 03038-2752
Mailing address
607 North Ave
Door 17, BLDG G
Wakefield, MA 01880-1303
Phone (781) 944-4044
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.