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NPI Code Detail

MEDICARE: DR. LOUIS A. TELESFORD M.D.

MEDICARE: DR. LOUIS A. TELESFORD M.D.
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
1207RC0000XCardiovascular Disease Physician034211CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1034211OTHERCTMEDICAL LICENSE

General Provider Information

NPI Number : 1023125523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS A. TELESFORD M.D.
Provider Business Mailing Address
First Line : 2337 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3539
Country : US
Telephone Number : 203-675-3838
Fax Number :
Provider Business Practice Location Address
First Line : 2337 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3539
Country : US
Telephone Number : 203-248-8142
Fax Number : 203-248-7764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 01/06/2021

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