Individual provider · Type 1 NPI

Robin C. Tedesco, PA-C

Surgical Physician Assistant · Bloomfield, CT

NPI number 1609146778 Active

Practice location

6 Northwestern Dr Ste 305
Bloomfield, CT 06002-3428

Call (860) 242-8591 Map

Fax (860) 242-2511

Other practice locations

  • 114 Woodland Street, Sicu Dept, Hartford, CT 06105 · (860) 714-4694
  • 2400 Tamarack Ave Ste 200, South Windsor, CT 06074-5559 · (860) 242-8591

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1609146778

Robin C. Tedesco, PA-C's National Provider Identifier is 1609146778, issued on Jan 6, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bloomfield, CT. The record was last updated on Oct 3, 2024.