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NPI Code Detail

MEDICARE: DR. KRISTINA ROSE TEDESCHI M.D.

MEDICARE:  DR. KRISTINA ROSE TEDESCHI  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
1207V00000XObstetrics & Gynecology PhysicianMD419104PA

General Provider Information

NPI Number : 1194712216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTINA ROSE TEDESCHI M.D.
Provider Business Mailing Address
First Line : 694 GOOD DR
Second Line : SUITE 112
City : LANCASTER
State : PA
Zip : 17601-2433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 694 GOOD DR
Second Line : SUITE 112
City : LANCASTER
State : PA
Zip : 17601-2433
Country : US
Telephone Number : 717-397-8177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/09/2015

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Directions to “ DR. KRISTINA ROSE TEDESCHI M.D.” Practice Location

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