Individual provider · Type 1 NPI

Alexandra Elise Tedesco, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1326601360 Active

Practice location

800 Washington St
Boston, MA 02111-1552

Mailing address

100 Enclave Ct
Lafayette, LA 70508-5986

Other practice locations

  • 100 Enclave Ct, Lafayette, LA 70508-5986 · (337) 412-7693

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326601360

Alexandra Elise Tedesco, MD's National Provider Identifier is 1326601360, issued on Apr 16, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 20, 2019.