MEDICARE: MONIKA TEDESCHI

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
1	208800000X	Urology Physician	CMD19187	RI

General Provider Information

NPI Number	:	1407344823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIKA TEDESCHI

Provider Business Mailing Address
First Line	:	825 FAIRFAX AVE STE 610
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23507-1912
Country	:	US
Telephone Number	:	757-446-8950
Fax Number	:

Provider Business Practice Location Address
First Line	:	1524 ATWOOD AVE STE LL6
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3228
Country	:	US
Telephone Number	:	401-331-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2018
Last Update Date	:	03/16/2026

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Directions to “ MONIKA TEDESCHI ” Practice Location

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