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NPI Code Detail

MEDICARE: DR. JOSEPH S. TESTA M.D.

MEDICARE:  DR. JOSEPH S. TESTA  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
1207Q00000XFamily Medicine Physician154759NY

General Provider Information

NPI Number : 1518935584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH S. TESTA M.D.
Provider Business Mailing Address
First Line : 2155 SHERIDAN DR
Second Line :
City : TONAWANDA
State : NY
Zip : 14223-1473
Country : US
Telephone Number : 716-447-0590
Fax Number : 716-447-1024
Provider Business Practice Location Address
First Line : 2155 SHERIDAN DR
Second Line :
City : TONAWANDA
State : NY
Zip : 14223-1473
Country : US
Telephone Number : 716-447-0590
Fax Number : 716-447-1024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 07/09/2007

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Directions to “ DR. JOSEPH S. TESTA M.D.” Practice Location

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