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NPI Code Detail

MEDICARE: THOMAS JOSEPH PESCE DDS

MEDICARE: THOMAS JOSEPH PESCE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0368951NY

General Provider Information

NPI Number : 1295834232
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS JOSEPH PESCE DDS
Provider Business Mailing Address
First Line : 3926 EAST TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-2902
Country : US
Telephone Number : 718-892-6550
Fax Number : 718-892-6550
Provider Business Practice Location Address
First Line : 3926 EAST TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-2902
Country : US
Telephone Number : 718-892-6550
Fax Number : 718-892-6550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS JOSEPH PESCE DDS” Practice Location

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