J Michael Tedesco, D.O.

Obstetrics Physician · Scranton, PA

Individual Active NPI

NPI number 1497704787

Practice location

743 Jefferson Ave
Suite 206
Scranton, PA 18510-1635
Phone
(570) 341-9818
Fax
(570) 341-9950

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NPI record

NPI
1497704787
Entity type
Individual (Type 1)
Enumeration date
May 6, 2006
Last updated
March 7, 2023
Certified
August 25, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Obstetrics Physician Primary 207VX0000X OS003900L PA

Mailing address

610 Wyoming Ave
Kingston, PA 18704-3702
Phone
(570) 288-5441
Fax
(570) 288-5842

About Dr. Tedesco

J Michael Tedesco, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Obstetrics Physician (code 207VX0000X). The practice location is 743 Jefferson Ave, Suite 206, Scranton, PA 18510-1635. The NPI number 1497704787 was assigned on May 6, 2006 and the record was last updated on March 7, 2023.

Dr. Tedesco lists a license in the registry: #OS003900L (PA) for Obstetrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of J Michael Tedesco, D.O.?

The NPI number is 1497704787.

What is the phone number of Dr. Tedesco?

The phone number listed for the practice location is (570) 341-9818.

Where is Dr. Tedesco located?

743 Jefferson Ave, Suite 206, Scranton, PA 18510-1635.

What is the taxonomy code for Dr. Tedesco?

The primary taxonomy code is 207VX0000X – Obstetrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.