SOFIA TEDESCO


Address: 14804 Physicians Ln Ste 222, Rockville, MD 20850-3947
Phone: 3014240220

SOFIA TEDESCO (NPI# 1316425762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316425762
Entity Type Individual
Full Name SOFIA TEDESCO
Credential DC
Practice Address 14804 Physicians Ln Ste 222
Rockville
MD 20850-3947
Mailing Address 1324 Main Mews
Gaithersburg
MD 20878-6549
Practice Telephone 3014240220
Mailing Telephone 3018018461
Enumeration Date 2018-07-29
Last Update Date 2018-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NI0013X Chiropractor
Specialization: Independent Medical Examiner
S03982 MD Chiropractic Providers

Other Providers SOFIA TEDESCO

NPI Name Taxonomy Address Enumeration
1306465380 Sofia Rae Tedesco Behavior Technician 1785 Big Hill Rd, Dayton, OH 45439-2219 2020-04-10

Office Location

Street Address 14804 PHYSICIANS LN STE 222
City ROCKVILLE
State MD
Zip Code 20850-3947

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Taxonomy Information

Taxonomy Code 111NI0013X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Independent Medical Examiner

Taxonomy Definition

A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861611964 Right Choice Chiropractic Chiropractor 14440 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4946 2007-04-25

Competitor

Search similar providers

City ROCKVILLE
Zip Code 20850

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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