NPI 1013771013 · live from the CMS NPI Registry
Brian D Tedesco, Dpm & George A Abboud Dpm PC
Podiatrist in Derry, NH. National Provider Identifier 1013771013, active.
NPI record
| NPI | 1013771013 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 44 Birch St Ste 301, Derry, NH 03038 |
| Practice phone | 603-260-6554 |
| Mailing address | 607 North Ave, Door 17, Bldg G, Wakefield, MA 01880 |
| Enumerated | February 9, 2024 |
| Last updated | February 9, 2024 |
| Authorized official | Sheila Antimone, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 213ES0131X | — | |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.