Dr. Andrew S. Tedesco
Procedural Dermatology
6648 E Carondelet Dr
Tucson
, Arizona 85710-2119
Dr. Andrew S. Tedesco
Procedural Dermatology
6648 E Carondelet Dr
Tucson
, Arizona 85710-2119
(520) 885-1404
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Andrew S. Tedesco
- 6648 E Carondelet Dr
- Tucson, AZ
- Zip : 85710-2119
- Fax : (520) 885-1404
- Phone : (520) 886-8151
Second Address
- Dr. Andrew S. Tedesco
- 6648 E Carondelet Dr
- Tucson, AZ
- Zip : 85710-2119
- Fax : (520) 885-1404
- Phone : (520) 886-8151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 11617 | AZ |
National Provider Identifier
| NPI | 1235128851 |
|---|---|
| Provider Name | Dr. Andrew S. Tedesco |
| First Address | Tucson, AZ 85710-2119 |
| Second Address | Tucson, AZ 85710-2119 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2005 |
| Last Update Date | 20/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D00419 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.