Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1902356587 |
| LBN Legal business name | BRIAN D TEDESCO, DPM & GEORGE A ABBOUD, DPM PC |
| Authorized official | SHEILA ANTIMONE - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/07/2016 |
| Last updated | 10/07/2016 - About 10 years ago |
| Identifiers | n/a |
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