MEDICARE: JOSEPH TEGUIA

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	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1528953908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH TEGUIA

Provider Business Mailing Address
First Line	:	18 LAKEVIEW AVE
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-2714
Country	:	US
Telephone Number	:	646-963-5218
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WINN ST
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-3101
Country	:	US
Telephone Number	:	646-963-5218
Fax Number	:

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

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	06/09/2025

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Directions to “ JOSEPH TEGUIA ” Practice Location

Language	Start Address	Practice Location

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